Joshua Thurman Linton, AT,ATC

Individual provider Active NPI Athletic Trainer · Houghton Lake, MI

NPI 1972044147 · NPPES record last updated Mar 22, 2017

Key facts

NPI
1972044147
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2601001401 (MI)
Practice address
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone
(989) 422-2115
Fax
(989) 422-7332
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2601001401MIMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2601001401 MI Yes

Addresses

Primary practice location

9249 W Lake City Rd
Houghton Lake, MI 48629-9602

Mailing address

131 Whitebirch Dr
Houghton Lake, MI 48629-9154

Other providers in Houghton Lake, MI

All providers in Houghton Lake, MI · Athletic Trainer in Michigan

Sources for this page

Verify at the official NPI Registry.