IndividualActive
Latisha Black, CDPT, BAS
NPI 1427615905 · Student in an Organized Health Care Education/Training Program · Tacoma, WA
Provider details
- NPI number
- 1427615905
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- CDPT, BAS
- Sex
- Female
- Sole proprietor
- No
- License
- C060492588 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense C060492588 (WA)
Student, Health Care
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Fawcett Ave Ste 200
Tacoma, WA 98402-2029
Phone: (253) 274-0484
Street-level locationGet directions
Mailing address
1111 Fawcett Ave Ste 200
Tacoma, WA 98402-2029
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2019-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.