IndividualActive
Alex Black, ATC
NPI 1083124556 · Athletic Trainer · Blacksburg, VA
Provider details
- NPI number
- 1083124556
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 0126002567 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
150 Jamerson Center (0502) 21 Beamer Way
Blacksburg, VA 24061-0001
Phone: (540) 231-6410
Approximate (ZIP-level) locationGet directions
Mailing address
834 Patrick Henry Dr
Blacksburg, VA 24060-3141
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.