Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT ALEXANDER ROARK, ATC
Active Sole ProprietorBRENT ALEXANDER ROARK, ATC is a Athletic Trainer healthcare provider located in ATHENS, West Virginia. NPI 1083121917 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ATHENS, WV
Registration Details
- NPI Number
- 1083121917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2017 (8.4353239652363 yrs)
- Last Updated
- Dec 31, 2017
- License
-
AT001370 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 VERMILLION STATHENS, WV, 247129027Browse WV providers · Browse ZIP 24712
- Phone
- 3043846320
- Fax
- 3043845117
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ATHENS, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER LYNN HVOZDOVIC KOERBER | ATC | 1295763050 |
| MR. JOHN CHARLES ROBERTS JR. | MSED, ATC | 1609158559 |
| MRS. TRACY LEIGH MCCALLISTER GILL | ATC | 1073056529 |
| BRITTANY NICOLE DOMINGO | MA, LAT, ATC | 1497289482 |
| JESSE ROY MEADE | — | 1598266520 |
| JENNIFER LAUREN SICINSKI | — | 1396234910 |
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.