Scott Alexander Packebush

Athletic Trainer · Bellevue, WA

Individual Active NPI

NPI number 1700546264

Practice location

13425 SE 30TH St Ste 2c
Bellevue, WA 98005-4450
Phone
(425) 252-3908

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NPI record

NPI
1700546264
Entity type
Individual (Type 1)
Enumeration date
December 26, 2021
Last updated
July 21, 2022
Certified
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X A161315490 WA
Athletic Trainer 2255A2300X — —

Mailing address

22500 SE 56TH St Apt 18-301
Issaquah, WA 98029-5266
Phone
(661) 331-4473

About Scott Packebush

Scott Alexander Packebush is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 13425 SE 30TH St Ste 2c, Bellevue, WA 98005-4450. The NPI number 1700546264 was assigned on December 26, 2021 and the record was last updated on July 21, 2022.

Scott Packebush lists a license in the registry: #A161315490 (WA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Alexander Packebush?

The NPI number is 1700546264.

What is the phone number of Scott Packebush?

The phone number listed for the practice location is (425) 252-3908.

Where is Scott Packebush located?

13425 SE 30TH St Ste 2c, Bellevue, WA 98005-4450.

What is the taxonomy code for Scott Packebush?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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