IndividualActive
Jacqueline Long
NPI 1609500131 · Athletic Trainer · Missoula, MT
Provider details
- NPI number
- 1609500131
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
32 Campus Dr
Missoula, MT 59812-0003
Phone: (406) 243-2703
Approximate (ZIP-level) locationGet directions
Mailing address
915 E Beckwith Ave
Missoula, MT 59801-5834
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.