Individual
BRANDON WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(615) 322-8769
Mailing address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(435) 227-6081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2364
STATE OF TENNESSEE DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
10/20/2014
Last updated
09/18/2019
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