Healthcare Provider Details
I. General information
NPI: 1164840047
Provider Name (Legal Business Name): AMBER ROSE PRESTON D.C., LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/28/2014
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3963 SAND DOLLAR RD W
BREMERTON WA
98312-5610
US
IV. Provider business mailing address
3963 SAND DOLLAR RD W
BREMERTON WA
98312-5610
US
V. Phone/Fax
- Phone: 360-830-6153
- Fax:
- Phone: 208-874-9581
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | A161458390 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH60764626 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | 2000035504 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: