Individual
MR. BRIAN D. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
800 MARTINSBURG ROAD PHYSICAL EDUCATION AND ATHLETICS, MOUNT VERNON NAZARENE UNIVERSITY, MOUNT VERNON, OH 43050
(740) 397-9000
Mailing address
38 HILLTOP DR, MOUNT VERNON, OH 43050-1841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-1028
OH
Other
Enumeration date
06/19/2006
Last updated
03/25/2015
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