Individual
TREVOR KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
160 PLAZA DR, CLEARFIELD, PA 16830-6007
(814) 762-8356
Mailing address
2883 ALLPORT CUTOFF, MORRISDALE, PA 16858-7504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002197A
PA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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