NPI 1104203629

Robert Ray Viles, MSATCCES

Practitioner Athletic Trainer Radford, VA

Practice location

Address: 101 University Dr, Radford, VA 24141
Phone: (540) 831-5164
Fax: (540) 831-6114
Mailing address: 1209 4th St, Radford, VA 24141-1315

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001969 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1104203629
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2015
Record last updated: 5 May 2015

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.