Individual
MR. JASON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
585 INTERSTATE DR, MANCHESTER, TN 37355-3190
(931) 723-7156
(931) 723-7159
Mailing address
585 INTERSTATE DR, MANCHESTER, TN 37355-3190
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
313990
TN
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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