Individual
MR. JUSTIN EUGENE CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
260 FORT SANDERS WEST BLVD STE 200, KNOXVILLE, TN 37922-3355
(865) 558-4418
Mailing address
2763 SHERINGHAM DR, POWELL, TN 37849-4836
(865) 947-5848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000724
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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