Healthcare Provider Details

I. General information

NPI: 1972880672
Provider Name (Legal Business Name): GILBERT O CATRON LAT, ATC, CSP, EMTP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 ROSE ST
HINTON WV
25951-2696
US

IV. Provider business mailing address

708 UNITY RD
PRINCETON WV
24739-8574
US

V. Phone/Fax

Practice location:
  • Phone: 724-332-5477
  • Fax: 724-332-5477
Mailing address:
  • Phone: 703-296-2518
  • Fax: 304-384-7267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number0126000038
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT001921
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: