Individual
JILLIAN KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(704) 502-6961
Mailing address
111 KIMBERLY RD, DAVIDSON, NC 28036-8552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1874
TN
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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