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Brent Walters, ATC

NPI 1376801670 · on the registry since 2012 · sole proprietor

Practice

Address: 200 High St
Glenville, WV 26351
Phone: (304) 462-6223
Organisation at this address: Glenville State College
Glenville State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia