Individual
MISS LINDSEY BROOKE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MBA
Contact information
Practice address
742 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
(865) 446-7000
Mailing address
742 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116831180
DRIVERS LISCENSE
TN
Enumeration date
09/09/2021
Last updated
09/09/2021
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