Individual
MARISA MALEIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1551 LAKE LOUDON BLVD, KNOXVILLE, TN 37916-4009
(865) 974-1231
Mailing address
650 DECKER DR, MIAMISBURG, OH 45342-3949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1595
TN
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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