Organization
NEURO ACTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY SWEENEY LONG PHD, LAT, ATC, CBIS (OWNER/ATHLETIC TRAINER)
(828) 896-7803
Entity
Organization
Contact information
Practice address
164 TROUT POND LN, BANNER ELK, NC 28604-8689
(828) 896-7803
Mailing address
164 TROUT POND LN, BANNER ELK, NC 28604-8689
(828) 896-7803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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