NPI 1154795219

Mary Jessica Langston, MSATCLAT

Practitioner Athletic Trainer Gulf Breeze, FL

Practice location

Address: 1040 Gulf Breeze Pkwy STE 101, Gulf Breeze, FL 32561-7808
Phone: (850) 598-7456

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL3372 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1154795219
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2015
Record last updated: 30 Nov 2015

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.