Brittany Wincia Backofen, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Las Vegas, NV. Individual provider (NPI-1).
NPI number1639611742
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1639611742
- Entity type
- Individual (NPI-1)
- Name
- Brittany Wincia Backofen
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2016
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0506324 | NV | Yes |
Practice location
3850 Annie Oakley DrLas Vegas, NV 89121-4526
Phone 702-799-7580
Mailing address
3850 Annie Oakley DrLas Vegas, NV 89121-4526
Phone 702-799-7580
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