Latisha Annette Black, CDPT, BAS
Latisha Annette Black, CDPT, BAS is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
1111 Fawcett Ave Ste 200Tacoma, WA 98402-2029
Phone: (253) 274-0484
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence C060492588 (WA) |
|---|
Record details
| NPI number | 1427615905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDPT , BAS |
| Sole proprietor | No |
| NPI enumerated | May 21, 2019 |
| Last updated in NPPES | May 21, 2019 |
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