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

Scott Alexander Packebush

Individual provider Athletic Trainer · NPI 1700546264

Scott Alexander Packebush is an Athletic Trainer in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

13425 SE 30th St Ste 2C
Bellevue, WA 98005-4450
Phone: (425) 252-3908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A161315490 (WA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1700546264
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2021
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address22500 Se 56th St Apt 18-301, Issaquah, WA 98029-5266

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