Individual
MR. MICHAEL LANSON NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
200 N 7TH ST, TERRE HAUTE, IN 47809-1902
(510) 299-6828
Mailing address
357 ANTIOCH CIR W, TERRE HAUTE, IN 47803-9453
(510) 299-6828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002161A
IN
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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