Brittany Nicole Domingo, MA, LAT, ATC
Specialist/Technologist, Athletic Trainer in Athens, WV. Individual provider (NPI-1).
NPI number1497289482
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1497289482
- Entity type
- Individual (NPI-1)
- Name
- Brittany Nicole Domingo
- Credential
- MA, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2017
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1000 Vermillion StBox C688
Athens, WV 24712-9027
Phone 681-422-9113
Mailing address
595 Caldwell St Apt APrinceton, WV 24739-9410
Phone 681-422-9113
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All 21 Athletic Trainer providers in Athens · All 51 providers in Athens
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