NPI 1780894808

Jay Ronald Canterbury, MSATC

Practitioner Athletic Trainer South Charleston, WV

Practice location

Address: 910 Upton Dr, South Charleston, WV 25309-1820
Phone: (304) 768-2561

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1780894808
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

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.