Individual
MR. JOSHUA MATT EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
263 SEABOARD LN, SUITE 200, FRANKLIN, TN 37067-8245
(615) 417-0675
Mailing address
2923 KEDZIE DR, MURFREESBORO, TN 37130-3372
(615) 417-0675
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000641
TN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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