Individual
JON TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
460 GREAT CIRCLE RD, NASHVILLE, TN 37228-1404
(615) 416-3871
Mailing address
PO BOX 1123, BRENTWOOD, TN 37024-1123
(615) 416-3871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0344
TN
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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