Individual
TRAHERN MICHAEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(304) 439-1879
Mailing address
59 COLLEGE AVE # MSC2224, BUCKHANNON, WV 26201-2600
(304) 439-1879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001820
WV
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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