NPI 1265682108

Cassandra M Latimer Clevenger, MSATC

Practitioner Athletic Trainer South Charleston, WV

Practice location

Address: 4024 Maccorkle Ave SW, South Charleston, WV 25309-1510
Phone: (304) 768-7671
Fax: (304) 768-6491
Mailing address: 612 High St, Saint Albans, WV 25177-2431

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1265682108
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2008
Record last updated: 29 Sep 2008

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.