Individual
MS. MORGAN ANN AUSTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
223 KALAMAZOO ST, JENISON FIELD HOUSE ATHLETIC TRAINING ROOM 106, EAST LANSING, MI 48824-5400
(517) 355-1627
Mailing address
208 W SAGINAW ST, APT. 208, EAST LANSING, MI 48823-2658
(219) 306-0278
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
2601001328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
MI
01
—
2255A2300X
ATHLETIC TRAINER
MI
Enumeration date
01/19/2015
Last updated
01/19/2015
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