Individual
KIERSTEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 AVENTINE WAY APT 210, CHATTANOOGA, TN 37421-4174
(912) 387-9357
Mailing address
7211 AVENTINE WAY APT 210, CHATTANOOGA, TN 37421-4174
(912) 387-9357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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