ADAM LONG

GRAND RAPIDS, MI
NPI1417401027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501017822)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-08-11
Last Update Date2019-02-20
Business Address
ADAM LONG PT, DPT
1331 LAKE DR SE SUITE 105
GRAND RAPIDS, MI 49506-1674
Phone number: 616-248-9842
Mailing Address
ADAM LONG PT, DPT
104 RED PAINT RDG
CLARKSVILLE, TN 37043-1529
Phone number: 931-220-9647