Individual
MR. MICHAEL BRENT KASAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
315 SHORTER AVE SW, ROME, GA 30165-4267
(706) 233-7490
Mailing address
205 E 3RD AVE APT 4, ROME, GA 30161-3180
(336) 317-0224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002700
GA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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