Individual
REGHAN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1 FORT JACKSON, COLUMBIA, SC 29207-5000
(336) 423-3283
Mailing address
1000 9TH ST NE, JACKSONVILLE, AL 36265-1204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003120
VA
Other
Enumeration date
05/01/2019
Last updated
01/03/2024
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