Individual
NATASHA BLAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10660 KINGSPORT HWY, CHUCKEY, TN 37641-3813
(423) 972-1444
Mailing address
PO BOX 358, CHUCKEY, TN 37641-0358
(423) 972-1444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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