Organization
1ST STEP FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEE PARKER (OWNER)
(731) 298-4506
Entity
Organization
Contact information
Practice address
95 RIVERPORT DR, JACKSON, TN 38301-5748
(731) 298-4506
Mailing address
95 RIVERPORT DR, JACKSON, TN 38301-5748
(731) 298-4506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TN
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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