Individual
TREY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 RED ROCK RD, BUCKHANNON, WV 26201-6024
(304) 439-1686
Mailing address
417 RED ROCK RD, BUCKHANNON, WV 26201-6024
(304) 439-1686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
06/10/2019
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