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Individual

MS. BETH ALISON FUNKHOUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, ATC, CSCS

Contact information

Practice address
12228 ITTA BENA DR, EMORY & HENRY COLLEGE- KING ATHLETIC CENTER, EMORY, VA 24327
(276) 944-6590
(276) 944-6738
Mailing address
PO BOX 947, EMORY & HENRY COLLEGE- KING ATHLETIC CENTER, EMORY, VA 24327
(276) 698-7530

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000437
VA

Other

Enumeration date
05/18/2006
Last updated
01/15/2013
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