Individual
NICHOLAS MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502
(785) 587-3322
Mailing address
315 SETH CHILD ROAD, MANHATTAN, KS 66502
(785) 587-4235
(785) 587-4298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03983
KS
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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