Individual
MISS HOLLY ANN PELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
409 NORTHCREST DR, SPRINGFIELD, TN 37172-3973
(615) 382-3078
(615) 382-2638
Mailing address
825 S DICKERSON RD, #138, GOODLETTSVILLE, TN 37072-1700
(615) 851-0287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
764
TN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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