NPI 1093930950

Johnny Leo Bray, ATC

Practitioner Athletic Trainer Novi, MI

Practice location

Address: 40557 Brenda, Novi, MI 48375-2803
Phone: (248) 767-7667

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1093930950
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 21 Apr 2010

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.