Individual
KELLY DANIELLE CICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 MCCALLIE AVE DEPT 3503, CHATTANOOGA, TN 37403-2504
(423) 425-4275
Mailing address
615 MCCALLIE AVE DEPT 3503, CHATTANOOGA, TN 37403-2504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014
TN
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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