Individual
LAKOTA CHEYENNE OXENDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1509 JOHN EXUM PKWY, JOHNSON CITY, TN 37604-3826
(423) 232-2190
Mailing address
2451 RIPSHIN MOUNTAIN RD, ROAN MOUNTAIN, TN 37687-3764
(423) 440-4544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2704
TN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/05/2019
Last updated
01/20/2023
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