John Massie, ATC, LAT

NPI 1043346372 · on the registry since 2007

Practice

Address: 374 E. Grand Ave.
Siuc Student Health Center
Carbondale, IL 62901
Phone: (618) 453-1292
Fax: (618) 453-4290
Organisation at this address: Marion Eye Centers Ltd.
Southern Illinois University
Southern Illinois University Student
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois