Individual
TAKETTA ARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 E 4TH ST, CHATTANOOGA, TN 37403-1925
(423) 425-4706
Mailing address
422 VINE ST APT 204, CHATTANOOGA, TN 37403-3466
(901) 364-3823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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