John E Massie, ATC, LAT

NPI #1043346372 in Carbondale, Illinois

Provider Information

NPI Number
1043346372
Entity Type
Individual
Name
John E Massie, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Feb 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
374 E. GRAND AVE.
Address 2
SIUC STUDENT HEALTH CENTER
ZIP Code
62901
Phone
(618) 453-1292

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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