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Individual

TRAVIS ARVIN STUEVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, AT/L, CSCS

Contact information

Practice address
904 E MOUNTCASTLE ST, JEFFERSON CITY, TN 37760-2607
(865) 471-3515
Mailing address
461 CLEARBROOK DR, JEFFERSON CITY, TN 37760-2072
(806) 584-8473

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1323
TN

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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