Individual
REBECCA IRENE BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 LLOYD HALL LOOP, DEER LODGE, TN 37726-3057
(931) 704-0145
Mailing address
1230 LLOYD HALL LOOP, DEER LODGE, TN 37726-3057
(931) 704-0145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2948
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
03/31/2022
Last updated
09/29/2022
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