Most Relevant Information
Provider Data
| NPI Number: | 1003567132 |
| Provider Name: | TRAHERN MICHAEL WHITE LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT001820 |
Most Important Dates
| Enumeration Date: | 01/11/2022 |
| Last Updated: | 01/11/2022 |
Provider Practice Location
59 COLLEGE AVE
BUCKHANNON
WV
262012600
Practice Location Phone/Fax
| Phone: | 3044391879 |
| Fax: |
Provider Mailing Location
59 COLLEGE AVE # MSC2224
BUCKHANNON
WV
262012600
Provider Mailing Phone/Fax
| Phone: | 3044391879 |
| Fax: |