Individual
MRS. KATHRYN ELLEN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11704 KINGSTON PIKE, KNOXVILLE, TN 37934-3850
(865) 680-1742
Mailing address
11704 KINGSTON PIKE, KNOXVILLE, TN 37934-3850
(865) 680-1742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1287
TN
Other
Enumeration date
03/21/2011
Last updated
01/26/2017
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