Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clinton T Bocanegra, LAT, ATC

Individual provider Athletic Trainer · NPI 1578275954

Clinton T Bocanegra, LAT, ATC is an Athletic Trainer in Renton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

737 Logan Ave N
Renton, WA 98057-5535
Phone: (425) 478-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Athletic Trainer Taxonomy 2255A2300X · Licence A160982086 (WA)

Record details

NPI number1578275954
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 17, 2022

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