Individual
DEVIN MICHAEL ELLERY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
112 TIPPIN GYM, CLARION UNIVERSITY, CLARION, PA 16214
(814) 393-2456
Mailing address
406 GRAND AVENUE EXT, APT. 2, CLARION, PA 16214-6176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
08/02/2013
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