Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MELISSA OLSON BLACK, M.S., A.T.C.
Active Sole ProprietorMRS. MELISSA OLSON BLACK, M.S., A.T.C. is a Athletic Trainer healthcare provider located in GOOCHLAND, Virginia. NPI 1073631149 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GOOCHLAND, VA
Registration Details
- NPI Number
- 1073631149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2007 (19.349287243507 yrs)
- Last Updated
- Dec 21, 2012
- License
-
0126000030 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3250 RIVER ROAD WESTGOOCHLAND, VA, 23063Browse VA providers · Browse ZIP 23063
- Phone
- 8045565322
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.