Individual
JOSEPHINE E KISTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LAT, ATC
Contact information
Practice address
2250 N OCOEE ST, CLEVELAND, TN 37311-3921
(423) 458-2515
Mailing address
1882 WESTSIDE DR NW, CLEVELAND, TN 37311-1153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
08/09/2024
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