NPI 1699982447

Brian William Potter, ATCEMTOTC

Practitioner Athletic Trainer Elkins, WV

Practice location

Address: 1502 Harrison Ave, Elkins, WV 26241-3497
Phone: (304) 637-4509
Mailing address: 19 Woody Dr, Buckhannon, WV 26201-2437

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001028 (WV)

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1699982447
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 16 Dec 2016

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.