NPI 1093153710

Troy J Blasius, ATC

Practitioner Athletic Trainer Traverse City, MI

Practice location

Address: 514 Barlow St, Traverse City, MI 49686-2780
Phone: (989) 619-2004

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2079866 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1093153710
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.