Individual
LANGSTON MICHAEL ASIATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
801 E BRANNON RD UNIT 227, NICHOLASVILLE, KY 40356-6094
(270) 300-4926
Mailing address
801 E BRANNON RD UNIT 227, NICHOLASVILLE, KY 40356-6094
(270) 300-4926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KY
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2019
Last updated
08/06/2021
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