Individual
SOPHIA LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
130 CARRIEBROOKE DR, STEPHENS CITY, VA 22655-6000
(540) 486-4653
Mailing address
112 SOURCE LN, LINDEN, VA 22642-5233
(540) 683-0290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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