Provider Demographics
NPI:1336984202
Name:BRIGGS, MARSHALL (ATHLETIC TRAINER)
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:ATHLETIC TRAINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3935 YOUNG AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2654
Mailing Address - Country:US
Mailing Address - Phone:707-320-8646
Mailing Address - Fax:
Practice Address - Street 1:3935 YOUNG AVE
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2654
Practice Address - Country:US
Practice Address - Phone:707-320-8646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach