Individual
HANNAH STAPLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
28 WESTHAMPTON WAY, RICHMOND, VA 23173-0001
(804) 335-5406
Mailing address
714 TIMKEN DR, HENRICO, VA 23229-6226
(804) 335-5406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YTB955M53546
ANTHEM HEALTHKEEPERS
VA
Enumeration date
12/08/2017
Last updated
12/08/2017
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