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Individual

PETER RYAN ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
3200 MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200, NASHVILLE, TN 37232-0001
(615) 406-5346
Mailing address
3200 MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200, NASHVILLE, TN 37232-0001
(615) 406-5346

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1592
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1592
TENNESSEE ATHLETIC TRAINER'S LICENSE
TN
Enumeration date
10/26/2012
Last updated
10/26/2012
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