Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAINE LONG, ATC
ActiveDR. BLAINE LONG, ATC is a Athletic Trainer healthcare provider located in MOUNT PLEASANT, Michigan. NPI 1871950113 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOUNT PLEASANT, MI
Registration Details
- NPI Number
- 1871950113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2016 (10.385964892261 yrs)
- Last Updated
- Feb 3, 2016
- License
-
2601001208 (MI)
Practice Information
- Address
-
1203 HEALTH PROFESSIONS BUILDINGCENTRAL MICHIGAN UNIVERSITYMOUNT PLEASANT, MI, 488599339Browse MI providers · Browse ZIP 48859
- Phone
- 9897742805
- Fax
- 9897743024
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MOUNT PLEASANT, MI
| Name | Credential | NPI |
|---|---|---|
| STRAUM ERIK YORTON | ATC | 1548258338 |
| RYAN P. KLAWON | AT, ATC | 1265702419 |
| EMILY WEBSTER | — | 1588060016 |
| ALEXANDER VICK | ATC | 1962897694 |
| EDUARDO GODOY | MA, AT, ATC | 1053834044 |
| JEFFREY REED CARRICO | ATC/LAT | 1528558871 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.