Katherine Elizabeth Bryant

Individual provider Active NPI Athletic Trainer · Scott Depot, WV

NPI 1255978458 · NPPES record last updated Dec 6, 2019

Key facts

NPI
1255978458
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
306 Dawn St
Scott Depot, WV 25560-9014
Phone
(304) 419-2309
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

306 Dawn St
Scott Depot, WV 25560-9014

Mailing address

306 Dawn St
Scott Depot, WV 25560-9014
Phone (304) 419-2309

Other providers in Scott Depot, WV

All providers in Scott Depot, WV · Athletic Trainer in West Virginia

Sources for this page

Verify at the official NPI Registry.