Individual
COURTNEY SUSAN MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 W MAIN ST, SPENCER, OH 44275-9534
(330) 416-7616
Mailing address
415 W MAIN ST, SPENCER, OH 44275-9534
(330) 416-7616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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