Breanna Davenport, MBA, VATL, ATC

NPI #1750831764 in Abingdon, Virginia

Provider Information

NPI Number
1750831764
Entity Type
Individual
Name
Breanna Davenport, MBA, VATL, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MBA, VATL, ATC
Enumeration Date
Oct 13, 2016
Last Updated
Oct 13, 2016

Practice Location

Address
812 THOMPSON DR
Address 2
C/O BRE DAVENPORT
ZIP Code
24210-2346
Phone
(276) 206-6729

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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