TIMOTHY YATES

CHARLESTON, WV
NPI1801288444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  1117)
Enumeration Date2015-02-18
Last Update Date2015-02-18
Business Address
-- TIMOTHY YATES MS, ATC
5528 MACCORKLE AVE SE
CHARLESTON, WV 25304-2320
Phone number: 304-720-5433
Mailing Address
-- TIMOTHY YATES MS, ATC
80 2ND ST
POCA, WV 25159-7208
Phone number: 304-546-9231