Individual
VICTORIA STUPECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 547-1232
Mailing address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TN
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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