Individual
AMANDA BRENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
983 NISSAN DR, SMYRNA, TN 37167-4405
(615) 355-2211
Mailing address
1103 SHROYER CIR, JACKSONVILLE, NC 28540-3318
(910) 554-5345
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000001540
TN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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