Individual
HIDEOMI MASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MBA, LAT, ATC
Contact information
Practice address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(304) 473-8420
(304) 473-8284
Mailing address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001105
WV
Other
Enumeration date
06/15/2012
Last updated
05/21/2023
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