DETRAVES THICKLIN, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1184167686
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | - |
Frequently Asked Questions
NPI 1184167686 is the National Provider Identifier for DETRAVES THICKLIN, ATC, a Specialist/Technologist - Athletic Trainer provider located in Soddy Daisy, TN. This NPI was enumerated on December 1, 2016.
DETRAVES THICKLIN, ATC practices at 210 WALMART DR, STE 100, Soddy Daisy, TN 37379.
Quick Facts
- NPI
- 1184167686
- Type
- Individual
- Enumerated
- Dec 1, 2016
- Last Updated
- Dec 1, 2016
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