Individual
MS. SAVANAH LEE MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101ST DSB, SPRC BLDG 6871, FORT CAMPBELL, KY 44223
(270) 412-4853
Mailing address
11 ADDISON PARK DR NW APT 206, HUNTSVILLE, AL 35806-1878
(760) 519-0352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2482
AL
Other
Enumeration date
09/14/2023
Last updated
09/15/2023
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