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Individual

PROF. TRACEY COVASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD., ATC., FNATA

Contact information

Practice address
308 W CIRCLE DR, DEPARTMENT OF KINEISOLOGY MICHIGAN STATE UNIVERSITY, EAST LANSING, MI 48824-3700
(517) 353-2010
Mailing address
308 W CIRCLE DRIVE, DEPARTMENT OF KINESIOLOGY, MICHIGAN STATE UNIVERSITY, EAST LANSING, MI 48824
(517) 353-2010

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000608
MI
2255A2300X
Athletic Trainer

Other

Enumeration date
01/08/2016
Last updated
09/03/2023
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