Individual
GARRETT JAMES BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC, LAT, ATC
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
Mailing address
990 IRWIN ST APT D2, MORGANTOWN, WV 26505-2872
(304) 514-1633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001882
WV
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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