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HEATHER B ELLIOTT ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1902166853

Individual Registrant:
 HEATHER B ELLIOTT ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
3917 BEAR HOLLOW RD  JOELTON, TN 37080-8912 US
Tel: 615-416-4863  Fax: --

Contact information for business:
3917 BEAR HOLLOW RD  JOELTON, TN 37080-8912 US
Tel: --  Fax: --

Registration Information:
NPI: 1902166853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
UT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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