Individual
ADAM S MISTR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1272 MILL DAM RD, VIRGINIA BEACH, VA 23454-2322
(757) 496-6719
Mailing address
1272 MILL DAM RD, VIRGINIA BEACH, VA 23454-2322
(757) 496-6719
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000729
VA
2255A2300X
Athletic Trainer
1008
SC
Other
Enumeration date
08/14/2008
Last updated
09/10/2019
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