Individual
KEITA ISAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
323 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
(615) 220-1417
(615) 220-1419
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-8930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2237
TN
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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