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Deactivated NPI 1750743035 Deactivated / Inactive NPI Male Practitioner

Grant Fish

Specialist/Technologist - Athletic Trainer • Moses Lake, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Grant Fish has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2016
NPI Deactivation Date April 26, 2019
Total Practice Duration ~3 Years of Practice (2016 – 2019)

Professional Overview & Biography Verified Profile Summary

Grant Fish was a registered Specialist/Technologist - Athletic Trainer practicing in Moses Lake, WA. Throughout an active medical career spanning 3 years, Grant Fish provided care at the practice location at 803 SHARON AVE E until profile deactivation on 2019-04-26.

Practice Location & Contact Primary Location

Practice Address

803 Sharon Ave E

Moses Lake, WA 988372441

Telephone 5094313814

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Moses Lake, WA (828 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Secondary Practice Locations

9346 Albert Way Se

Moses Lake, WA 988379053

Phone: 5094313814

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Gary Clinton , AT, C

Specialist/Technologist - Athletic Trainer

NPI 1497712251

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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Updated Practice Location June 24, 2026

Registered at 803 SHARON AVE E, MOSES LAKE, WA 988372441 (Tel: 5094313814)

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Updated Business Mailing Address June 24, 2026

Registered at 803 SHARON AVE E, MOSES LAKE, WA 988372441 (Tel: 5094313814)

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Provider Name / Credentials Updated June 24, 2026

Recorded as GRANT FISH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Specialist/Technologist

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NPI Profile Deactivated April 26, 2019

Record deactivated on April 26, 2019

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 13, 2017

Registered at 803 SHARON AVE E, MOSES LAKE, WA 988372441 (Tel: (509) 431-3814)

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Updated Business Mailing Address July 13, 2017

Registered at 803 SHARON AVE E, MOSES LAKE, WA 988372441 (Tel: (509) 431-3814)

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Provider Name / Credentials Updated July 13, 2017

Recorded as GRANT FISH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Specialist/Technologist

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 9346 ALBERT WAY SE, MOSES LAKE, WA 988379053 (Tel: 5094313814)

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Updated Business Mailing Address March 24, 2016

Registered at 9346 ALBERT WAY SE, MOSES LAKE, WA 988379053 (Tel: 5094313814)

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Provider Name / Credentials Updated March 24, 2016

Recorded as GRANT FISH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Specialist/Technologist

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Initial NPI Registration & Enumeration March 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750743035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2016
Last Update: June 24, 2026
Deactivation Date: April 26, 2019
Sole Proprietor: No

Mailing Address

803 Sharon Ave E

Moses Lake, WA 988372441

Phone: 5094313814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.