MICHAEL WAYNE GOFORTH

BLACKSBURG, VA
NPI1679539324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000314)
Enumeration Date2006-04-21
Last Update Date2022-07-21
Business Address
Mr. MICHAEL WAYNE GOFORTH ATC
VIRGINIA TECH SPORTS MEDICINE, 113 MERRYMAN CENTER
BLACKSBURG, VA 24061-0001
Phone number: 540-231-7742
Mailing Address
Mr. MICHAEL WAYNE GOFORTH ATC
3260 GORDON DR
BLACKSBURG, VA 24060-8675
Phone number: 540-953-0266
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