Individual
MISS RILEY RENAY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 UNION UNIVERSITY DR, JACKSON, TN 38305-3656
(731) 661-6591
(731) 661-5182
Mailing address
1050 UNION UNIVERSITY DR # UU2185, JACKSON, TN 38305-3656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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