Individual
ASHLEE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
25 BEAMER WAY, BLACKSBURG, VA 24061-0001
(540) 231-9984
Mailing address
25 BEAMER WAY, BLACKSBURG, VA 24061-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003214
VA
Other
Enumeration date
05/18/2019
Last updated
11/06/2020
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