Individual
MRS. VALERIE KAY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
263 SEABOARD LN, FRANKLIN, TN 37067-4877
(615) 591-6590
Mailing address
7481 CHRISTOPHER ST, FAIRVIEW, TN 37062-9307
(615) 686-3683
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001683
TN
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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