SearchTennesseeAthletic Trainer

Kevin Wallace, ATC

NPI 1265100184 · on the registry since 2021 · sole proprietor

Practice

Address
100 Bible Crossing Rd
Dechard, TN 37324
Phone
(931) 962-9947

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee