Individual
KATHERINE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
115 CUMBERLAND PLZ, CROSSVILLE, TN 38555-4292
(931) 787-1244
(931) 787-1245
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1450
TN
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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