Individual
EASTON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(304) 473-8000
Mailing address
131 MELANIE LN, RIPLEY, WV 25271-8435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001896
WV
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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