Individual
MIKE AVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, PES
Contact information
Practice address
1300 W BROAD ST, RICHMOND, VA 23284-9089
(801) 828-2321
(804) 628-0048
Mailing address
1300 W BROAD ST, RICHMOND, VA 23284-9089
(801) 828-2321
(804) 628-0048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002336
VA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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