Emily S Fortunato, MS, ATC, CSCS
Specialist/Technologist, Athletic Trainer in Tukwila, WA. Individual provider (NPI-1).
NPI number1174808331
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1174808331
- Entity type
- Individual (NPI-1)
- Name
- Emily S Fortunato
- Credential
- MS, ATC, CSCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2011
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A161518232 | WA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A0000200 | MD |
Practice location
14800 Starfire WayTukwila, WA 98188-8502
Phone 301-588-7888 · Fax 301-588-3419
Mailing address
14800 Starfire WayTukwila, WA 98188-8502
Phone 301-588-7888 · Fax 301-588-3419
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