Individual
AMETHYST MORIAH CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2515 BRITTONTOWN RD, AFTON, TN 37616-3951
(423) 525-1959
Mailing address
2515 BRITTONTOWN RD, AFTON, TN 37616-3951
(423) 525-7616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000002593
TN
Other
Enumeration date
09/24/2018
Last updated
12/30/2019
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