Individual
MR. MICHAEL RAY LONGHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 270-8880
(785) 270-8881
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00015
KS
Other
Enumeration date
06/28/2014
Last updated
12/04/2016
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