NPI 1003567132

Trahern Michael White, LATATC

Practitioner Athletic Trainer Buckhannon, WV

Practice location

Address: 59 College Ave, Buckhannon, WV 26201-2600
Phone: (304) 439-1879
Mailing address: 59 College Ave # Msc2224, Buckhannon, WV 26201-2600

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001820 (WV)

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1003567132
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.