Individual
ZACHARY VINCINT HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E ROBINSON ST, PADEN CITY, WV 26159-1730
(304) 771-5123
Mailing address
111 E ROBINSON ST, PADEN CITY, WV 26159-1730
(304) 771-5123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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