Individual
DESTINY WIHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6574 E BRAINERD RD APT 920, CHATTANOOGA, TN 37421-3710
(901) 584-6654
Mailing address
6574 E BRAINERD RD APT 920, CHATTANOOGA, TN 37421-3710
(901) 584-6654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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