Individual
MS. KATHRYN LEE MACLUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4180 WEAVER PIKE, SULLIVAN EAST HIGH SCHOOL, BLUFF CITY, TN 37618-2031
(423) 416-2121
(423) 354-1906
Mailing address
821 LINCOLN AVE, JOHNSON CITY, TN 37604-4451
(423) 483-3058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040
TN
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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