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Individual

CHAD WESELY BREEDLOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
821 FESSLERS PKWY, NASHVILLE, TN 37210-2902
(615) 256-1818
(615) 256-6884
Mailing address
108 PORTSMOUTH CV, BRENTWOOD, TN 37027-1740
(615) 256-1818
(615) 256-6884

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TN

Other

Enumeration date
12/09/2011
Last updated
12/09/2011
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