Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL WAYNE GOFORTH, ATC
ActiveMR. MICHAEL WAYNE GOFORTH, ATC is a Athletic Trainer healthcare provider located in BLACKSBURG, Virginia. NPI 1679539324 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLACKSBURG, VA
Registration Details
- NPI Number
- 1679539324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2006 (20.134351791412 yrs)
- Last Updated
- Jul 21, 2022
- License
-
0126000314 (VA)
Practice Information
- Address
-
VIRGINIA TECH SPORTS MEDICINE, 113 MERRYMAN CENTERBLACKSBURG, VA, 240610001Browse VA providers · Browse ZIP 24061
- Phone
- 5402317742
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLACKSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL CHAD HYATT | ATC, EMT | 1114983764 |
| MR. KEITH PARKER DOOLAN | ATC | 1073579488 |
| JIMMY LYNN LAWRENCE | — | 1104197292 |
| AMY DAVIS | ATC | 1144565573 |
| DAVID DIETTER | ATC | 1194130310 |
| MORGAN THOMSON | — | 1609275742 |
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.