Individual
JESSICA L CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3575 KEITH ST NW STE 205, CLEVELAND, TN 37312-4326
(423) 559-0444
(423) 559-0103
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1352
TN
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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