Individual
MEGAN BROOKE DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
2080 ALDI BLVD, MT JULIET, TN 37122-7119
(931) 409-1858
Mailing address
1045 ALTAVISTA LN, SMYRNA, TN 37167-1398
(931) 409-1858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2664
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933206266
UNITED HEALTHCARE
TN
Enumeration date
07/02/2018
Last updated
07/06/2022
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