Individual
MICHAEL CODEY STEVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1675 E POSSUM RD, SPRINGFIELD, OH 45502-7947
(937) 325-9296
Mailing address
1675 E POSSUM RD, SPRINGFIELD, OH 45502-7947
(937) 325-9296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 004467
OH
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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