Individual
MR. TIMOTHY MCINTOSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
3880 SHORT MOUNTAIN RD, WOODBURY, TN 37190-5458
(931) 607-0368
Mailing address
3880 SHORT MOUNTAIN RD, WOODBURY, TN 37190-5458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000190
TN
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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