Individual
DANIEL JOHN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2130 BRANNER AVE, JEFFERSON CITY, TN 37760-2210
(865) 471-2071
Mailing address
632 CEDAR LN APT 1, KNOXVILLE, TN 37912-3616
(201) 655-9499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000002232
TN
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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