Individual
MRS. MISTY DEPRIEST HUDGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC/L
Contact information
Practice address
2130 S BRANNER AVENUE, CN BOX 72030 -, JEFFERSON CITY, TN 37760
(865) 471-4846
(865) 471-4790
Mailing address
1709 MCCOWN AVE, JEFFERSON CITY, TN 37760-2127
(423) 322-5987
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
09/11/2009
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