Individual
EMILY KAUTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
76 S HOUSTON LEVEE RD, EADS, TN 38028-7024
(901) 765-4600
Mailing address
96 RIVER HEIGHTS DR APT 203, MEMPHIS, TN 38103-6976
(406) 740-0183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2366
TN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2017
Last updated
10/08/2018
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