Individual
JEREMY HERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
230 CITYGREEN WAY APT 314, CHATTANOOGA, TN 37405-1484
(706) 994-9190
Mailing address
230 CITYGREEN WAY APT 314, CHATTANOOGA, TN 37405-1484
(706) 994-9190
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3082
TN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/13/2023
Last updated
12/29/2023
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