Individual
VICKI JEAN LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
405 FAYETTE PIKE, WVU TECH ATHLETIC TRAINING, MONTGOMERY, WV 25136-2437
(304) 442-3496
(304) 442-3499
Mailing address
117 RODNEY AVE, MOUNT NEBO, WV 26679-8206
(304) 382-7973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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