Healthcare Provider Details

I. General information

NPI: 1982196531
Provider Name (Legal Business Name): BRIANNA CALI PACE ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA CALI HALL

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD WA
98431-6874
US

IV. Provider business mailing address

6214 N 46TH ST
TACOMA WA
98407-2001
US

V. Phone/Fax

Practice location:
  • Phone: 425-263-7279
  • Fax:
Mailing address:
  • Phone: 425-263-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberA160864886
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: