NPI 1285764159

Lydia Loree Case, ATC

Practitioner Athletic Trainer Traverse City, MI

Practice location

Address: 5246 N Royal Dr Suite B, Traverse City, MI 49684-6984
Phone: (231) 929-0303
Fax: (231) 929-0305
Mailing address: 4691 Voice Rd, Kingsley, MI 49649-9604

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1285764159
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

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.