Individual
MICHELLE MARIE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 JAMES GORDON OUTLAW RD, INDIAN MOUND, TN 37079-5244
(253) 260-7635
Mailing address
106 JAMES GORDON OUTLAW RD, INDIAN MOUND, TN 37079-5244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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