Individual
TARA DIANE CATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 BAXTER HOLLOW RD, BELVIDERE, TN 37306-2309
(931) 691-9476
Mailing address
1496 BAXTER HOLLOW RD, BELVIDERE, TN 37306-2309
(931) 691-9476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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