Individual
BRIANNA TETZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
(219) 743-9874
Mailing address
PO BOX 70707, JOHNSON CITY, TN 37614-1710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
05/31/2023
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