NPI 1104390004

Trey Short

Practitioner Athletic Trainer Buckhannon, WV

Practice location

Address: 417 Red Rock Rd, Buckhannon, WV 26201-6024
Phone: (304) 439-1686

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1104390004
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2019
Record last updated: 10 Jun 2019

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.