Provider Demographics
NPI:1740348028
Name:GRAMS, ROBERT EDWIN JR (ATC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EDWIN
Last Name:GRAMS
Suffix:JR
Gender:M
Credentials:ATC
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Mailing Address - Street 1:18015 51ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-8616
Mailing Address - Country:US
Mailing Address - Phone:206-242-1903
Mailing Address - Fax:
Practice Address - Street 1:3307 3RD AVE W
Practice Address - Street 2:STE 301
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1940
Practice Address - Country:US
Practice Address - Phone:206-281-2768
Practice Address - Fax:206-281-2266
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer