Gayle Lee Conner, A.T.,C.
Specialist/Technologist, Athletic Trainer in Shepherdstown, WV. Individual provider (NPI-1).
NPI number1790907186
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790907186
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gayle Lee Conner
- Credential
- A.T.,C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
301north King StreetShepherd University
Shepherdstown, WV 25443
Phone 304-876-5348 · Fax 304-876-3267
Mailing address
920 S Raleigh StMartinsburg, WV 25401-3119
Phone 304-876-5348 · Fax 304-876-3267
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