MR. Michael Matthew Novellino, LAT, ATC, CEAS III

NPI #1720435456 in Moraine, Ohio

Provider Information

NPI Number
1720435456
Entity Type
Individual
Name
MR. Michael Matthew Novellino, LAT, ATC, CEAS III
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC, CEAS III
Enumeration Date
May 23, 2016
Last Updated
May 6, 2020

Practice Location

Address
800 FUYAO AVE
State
Ohio
ZIP Code
45439-7500
Phone
(937) 493-5777

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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