Michael Witmer, MAT, LAT, ATC, CPT

NPI #1073088639 in Tucker, Georgia

Provider Information

NPI Number
1073088639
Entity Type
Individual
Name
Michael Witmer, MAT, LAT, ATC, CPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MAT, LAT, ATC, CPT
Enumeration Date
Oct 10, 2018
Last Updated
Oct 10, 2018

Practice Location

Address
3928 WOODRIDGE WAY
City
Tucker
State
Georgia
ZIP Code
30084-2155
Phone
(937) 657-0031

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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