Individual
MR. JOSEPH TODD BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
615 MCCALLIE AVE, CHATTANOOGA, TN 37403-2504
(423) 425-4275
Mailing address
1011 CROWN POINT RD W, SIGNAL MOUNTAIN, TN 37377-1917
(423) 886-3858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000824
TN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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