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Contact Information

AMANDA PRUDEN, ATC, AT/L
940 N. 98TH ST. APT. 206
SEATTLE, WA98103
 Phone: 206-707-6670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for AMANDA PRUDEN · (Female)

NPI # 1184069809
Status Active
Credentials ATC, AT/L
Entity Individual
Enumeration date 05/08/2013
Last updated 05/08/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # A160116702
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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