Individual
KAI D WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
545 LANE AVE, ATHLETIC DEPARTMENT, JACKSON, TN 38301
(731) 426-7668
Mailing address
131 SUNNYSIDE DR, JACKSON, TN 38301-3337
(731) 402-1375
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000001207
TN
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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