MR. Brian D. Humphrey, AT, ATC

NPI #1508801796 in Mount Vernon, Ohio

Provider Information

NPI Number: 1508801796
Entity Type: Individual
Name: MR. Brian D. Humphrey, AT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: AT, ATC
Enumeration Date: Jun 19, 2006
Last Updated: Mar 25, 2015

Practice Location

Address: 800 MARTINSBURG ROAD PHYSICAL EDUCATION AND ATHLETICS
Address 2: MOUNT VERNON NAZARENE UNIVERSITY
City: Mount Vernon
State: Ohio
ZIP Code: 43050
Phone: (740) 397-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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