Provider Demographics
NPI:1891573572
Name:SIGMAN, BRIAN ANTHONY (ATC,LAT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ANTHONY
Last Name:SIGMAN
Suffix:
Gender:M
Credentials:ATC,LAT
Other - Prefix:MR
Other - First Name:BRIAN
Other - Middle Name:ANTHONY
Other - Last Name:SIGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC,LAT
Mailing Address - Street 1:175 MERCY WAY
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1462
Mailing Address - Country:US
Mailing Address - Phone:304-539-0624
Mailing Address - Fax:
Practice Address - Street 1:3350 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-8605
Practice Address - Country:US
Practice Address - Phone:304-539-0624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAT00011303622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer