Individual
MR. WILLIAM RICHARD TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2627 MT VERNON AVE, POINT PLEASANT, WV 25550
(304) 675-4423
Mailing address
2627 MOUNT VERNON AVE, POINT PLEASANT, WV 25550-1621
(304) 675-5070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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