Provider Demographics
NPI:1215900253
Name:JENKINS, PATRICK SEAN (ATC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:SEAN
Last Name:JENKINS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1128 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4858
Mailing Address - Country:US
Mailing Address - Phone:206-669-4115
Mailing Address - Fax:
Practice Address - Street 1:BOX 354070 GRAVES BLDG
Practice Address - Street 2:UNIVERSITY OF WASHINGTON TRAINING ROOM
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-685-8419
Practice Address - Fax:206-685-3521
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer