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Gabriel Jiles, ATC/LAT

Specialist/Technologist, Athletic Trainer in Tacoma, WA. Individual provider (NPI-1).

NPI number1699342014
StatusActive
Last updated in NPPESOct 29, 2025

Details

NPI
1699342014
Entity type
Individual (NPI-1)
Name
Gabriel Jiles
Credential
ATC/LAT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 4, 2021
Certification date
Oct 29, 2025
Last updated
Oct 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerA161457491WAYes

Practice location

827 N Tacoma Ave
Tacoma, WA 98403-2899

Phone 253-272-2216

Mailing address

827 N Tacoma Ave
Tacoma, WA 98403-2899

Phone 253-272-2216

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