NPI 1134779390

Robert Daniel Martin, ATC

Practitioner Athletic Trainer Buckhannon, WV

Practice location

Address: 59 College Ave, Buckhannon, WV 26201-2600
Phone: (304) 473-8103
Fax: (304) 473-8112
Mailing address: PO Box 128, Buckhannon, WV 26201-0128

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1134779390
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2019
Record last updated: 18 Sep 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.