Latisha Annette Black, CDPT, BAS is a student in an organized health care education training program in Tacoma, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Latisha Annette Black, CDPT, BAS NPI is 1427615905. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1111 FAWCETT AVE STE 200
TACOMA, WA
ZIP 98402-029
Phone: (253) 274-0484
The enumeration date for this NPI number is 5/21/2019 and was last updated on 5/21/2019.