MATTHEW LONG

MARSHALL, MO
NPI1376953372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2007032283)
Enumeration Date2014-04-30
Last Update Date2014-04-30
Business Address
-- MATTHEW LONG ATC, LAT
500 E COLLEGE ST
MARSHALL, MO 65340-3109
Phone number: 660-831-4195
Mailing Address
-- MATTHEW LONG ATC, LAT
500 E COLLEGE ST
MARSHALL, MO 65340-3109
Phone number: 660-831-4195