Individual
KATHLEEN NICOLE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
210 WALMART DR, STE 100, SODDY DAISY, TN 37379-5022
(423) 332-9490
Mailing address
1421 CLOVERDALE CIR, APT 309, HIXSON, TN 37343-4487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1899
TN
2255A2300X
Athletic Trainer
AT002561
GA
Other
Enumeration date
12/07/2015
Last updated
03/21/2017
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