Individual
MR. MICHAEL SHAWN WHITLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5309 COMMONWEALTH CENTRE PKWY STE 100, MIDLOTHIAN, VA 23112-2633
(804) 545-7560
Mailing address
5309 COMMONWEALTH CENTRE PKWY STE 100, MIDLOTHIAN, VA 23112-2633
(804) 545-7560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002207
VA
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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