IndividualActive
Abigail Waldo, ATC
NPI 1174164271 · Athletic Trainer · Pullman, WA
Provider details
- NPI number
- 1174164271
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2601002006 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
410 Dairy Dr Bohler Athletic Complex M4
Pullman, WA 99164-5422
Phone: (509) 335-0319
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 489
Albion, WA 99102-0489
Registry dates
- Enumerated
- 2019-10-01
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.