Individual
EMILY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2315 CIRCLE DR SW, ROANOKE, VA 24018-2105
(540) 589-6508
Mailing address
2315 CIRCLE DR SW, ROANOKE, VA 24018-2105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003049
VA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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