Brent Walters, ATC
NPI #1376801670 in Glenville, West Virginia
Provider Information
- NPI Number
- 1376801670
- Entity Type
- Individual
- Name
- Brent Walters, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 25, 2012
- Last Updated
- Apr 25, 2012
Practice Location
- Address
- 200 HIGH ST
- City
- Glenville
- State
- West Virginia
- ZIP Code
- 26351-1200
- Phone
- (304) 462-6223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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