Individual
STEPHANIE LYNN OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(429) 282-0035
Mailing address
215 ROCKINGHAM RD APT 14, JOHNSON CITY, TN 37615-4767
(276) 971-6806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2076
TN
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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