Individual
KRISTOPHER ACE IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 WALNUT ST APT 254, CHATTANOOGA, TN 37403-4400
(770) 658-7105
Mailing address
212 WALNUT ST APT 254, CHATTANOOGA, TN 37403-4400
(770) 658-7105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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