Individual
ALLISON HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
375 BIRCH ST, MORGANTOWN, WV 26505-3418
(304) 293-0865
Mailing address
PO BOX 6116, MORGANTOWN, WV 26506-6116
(304) 293-0865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001097
WV
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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