Individual
MAKAYLA DESHEA COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 BELLE CHASE WAY NE, CLEVELAND, TN 37312-2368
(423) 650-5307
Mailing address
146 BELLE CHASE WAY NE, CLEVELAND, TN 37312-2368
(423) 650-5307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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