Individual
MRS. CASSIE GASKINS STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
1696 FAIRVIEW BLVD, SUITE 103, FAIRVIEW, TN 37062-5137
(615) 799-1915
Mailing address
1010 GARTON RD, BURNS, TN 37029-5214
(615) 446-0839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000592
TN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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