Individual
MICHAEL GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
3939 HOUMA BLVD, #17 DOCTORS ROW, METAIRIE, LA 70006-2931
(504) 812-6211
Mailing address
8 TRIBUNE ST, METAIRIE, LA 70001-5732
(504) 812-6211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200148
LA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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