Individual
JOEL MASSOBRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
206 PAGE AVE, JACKSON, MI 49201-2418
(877) 202-2175
Mailing address
2600 E ALPINE LAKE DR, APT D, JACKSON, MI 49203-6339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001523
MI
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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