Individual
ANDY MICHAEL CAMMUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
111 LUTHER RD, DICKSON, TN 37055-2112
(615) 740-9782
Mailing address
7024 BRIDGEPORT DR, NASHVILLE, TN 37221-6560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
753
TN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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