Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Kendrick Black, ATC

Individual provider Athletic Trainer · NPI 1083124556

Alex Kendrick Black, ATC is an Athletic Trainer in Blacksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

150 Jamerson Center (0502) 21 Beamer Way
Blacksburg, VA 24061-0001
Phone: (540) 231-6410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126002567 (VA)

Record details

NPI number1083124556
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017

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