MICHAEL STALEY

LIVINGSTON, AL
NPI1023450814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001906A)
Enumeration Date2013-07-23
Last Update Date2013-07-23
Business Address
Mr. MICHAEL STALEY ATC
UWA STATION #14
LIVINGSTON, AL 35470-0000
Phone number: 217-932-3001
Mailing Address
Mr. MICHAEL STALEY ATC
STATION #14, UWA
LIVINGSTON, AL 35470-0000
Phone number: 217-932-3001