Individual
MICHAEL JON BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
8075 SAWYER BROWN RD APT 1618, NASHVILLE, TN 37221-1536
(615) 663-1644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1199
TN
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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