BRYCE MICHAEL HIETPAS

VIENNA, WV
NPI1487252664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WV  AT001739)
Enumeration Date2020-10-11
Last Update Date2022-07-09
Business Address
MR. BRYCE MICHAEL HIETPAS LAT, ATC
1 CAMPUS VIEW DR
VIENNA, WV 26105-8000
Phone number: 304-865-6000
Mailing Address
MR. BRYCE MICHAEL HIETPAS LAT, ATC
2301 LAKELAND HILLS BLVD
LAKELAND, FL 33805-2909
Phone number: 920-636-8509
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