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Michael Musselwhite, MA, LAT, ATC

Specialist/Technologist, Athletic Trainer in Pembroke, NC. Individual provider (NPI-1).

NPI number1760982425
StatusActive
Last updated in NPPESFeb 19, 2018

Details

NPI
1760982425
Entity type
Individual (NPI-1)
Name
Mr. Michael Musselwhite
Credential
MA, LAT, ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 19, 2018
Last updated
Feb 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerLAT-2470NCYes

Practice location

1 University Rd
Pembroke, NC 28372-8699

Phone 910-775-4100

Mailing address

1 University Rd
Pembroke, NC 28372-8699

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Other Athletic Trainer providers in Pembroke, NC

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