Individual
CARISSA ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
170 COMMUNITY CENTER DRIVE, PIGEON FORGE, TN 37863
(865) 908-9248
Mailing address
213 BUENA VISTA DR, SEVIERVILLE, TN 37876-9502
(865) 908-9248
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
609
TN
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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