Individual
BRANDI RAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
200 TRACY WAY, CHARLESTON, WV 25311-1258
(304) 388-4900
(304) 388-4910
Mailing address
1503 DUTCH HOLLOW RD, DUNBAR, WV 25064-1200
(304) 388-4900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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