Individual
MS. KRISTINA MARIE ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
215 HAWKS RD, SUITE 12, MARTIN, TN 38237-2708
(731) 587-6299
Mailing address
530A LEE ST, MARTIN, TN 38237-2914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000879
TN
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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