Organization · Type 2 NPI

Blue Ridge Academic Medical Group, PLC

Sports Medicine (Neuromusculoskeletal Medicine) Physician · Blacksburg, VA

NPI number 1861453078 Active

Practice location

3700 S Main St
Blacksburg, VA 24060-7017

Mailing address

2265 Kraft Dr
Blacksburg, VA 24060-6360

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000X0102201473 (VA)

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

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About NPI 1861453078

Blue Ridge Academic Medical Group, PLC's National Provider Identifier is 1861453078, issued on Mar 29, 2006. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Blacksburg, VA. The record was last updated on Aug 22, 2020.