Individual
LEIGH ANN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
343 VANN DR, JACKSON, TN 38305-6018
(731) 984-7640
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
689
TN
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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