Individual
BRETT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
(423) 439-4208
(423) 439-5264
Mailing address
PO BOX 70707, JOHNSON CITY, TN 37614-1710
(423) 439-4208
(423) 439-5264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001006
TN
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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