Individual
BRENNON WEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 INDUSTRIAL PARK RD, ELKINS, WV 26241-3560
(304) 621-7747
Mailing address
616 MAIN ST, BEVERLY, WV 26253-9615
(304) 704-5936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001970
WV
2255A2300X
Athletic Trainer
—
WV
Other
Enumeration date
06/23/2025
Last updated
08/27/2025
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