Individual
LAURA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, LAT, ATC
Contact information
Practice address
700 VICTORY WAY, KISSIMMEE, FL 34747
(407) 456-1424
Mailing address
PO BOX 10000, LAKE BUENA VISTA, FL 32830-1000
(407) 456-1424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2434
FL
Other
Enumeration date
08/11/2009
Last updated
11/23/2016
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