Individual
LAURA MISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(423) 636-7312
Mailing address
145 TWIN BARNS RD APT 3, GREENEVILLE, TN 37743-0953
(571) 246-2896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2018
Last updated
06/15/2019
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