Individual
AUBREY GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
1993 AIRPORT RD APT B, FAIRMONT, WV 26554-9138
(304) 771-5510
Mailing address
512 PEARL AVE APT B, MORGANTOWN, WV 26505-5635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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