Individual
ASHTON BROCKENBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2902 E WASHINGTON AVE, VINTON, VA 24179-1314
(540) 562-3900
Mailing address
10412 ROANOKE RD, ELLISTON, VA 24087-2333
(540) 589-5024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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