Individual
JOSEPH WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(615) 322-4119
Mailing address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1953
TN
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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