Gayle Lee Conner, A.T.,C.
Individual provider Active NPI Athletic Trainer · Shepherdstown, WV
NPI 1790907186 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790907186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 301North King Street
Shepherd University
Shepherdstown, WV 25443 - Phone
- (304) 876-5348
- Fax
- (304) 876-3267
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
301North King Street
Shepherd University
Shepherdstown, WV 25443
Mailing address
920 S Raleigh St
Martinsburg, WV 25401-3119
Phone (304) 876-5348
Other providers in Shepherdstown, WV
- Cedar Spring Wellness PLLC
- Pratima Chandler
- Christine Hope Duewel LLC
- City Hospital Inc
- Teresa Collins
- Benjamin C Cooper
- Yazmeen Cosley
- Ann Craig
- Amber Annette Cummins
- Jordan Lee Davis
All providers in Shepherdstown, WV · Athletic Trainer in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.