Individual
MR. ETHAN REGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2021 CHURCH ST STE 200, NASHVILLE, TN 37203-2087
(615) 324-1600
(615) 284-2003
Mailing address
3907 HENRICKS HILL DR, SMYRNA, TN 37167-8368
(615) 957-2403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1873
TN
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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