Individual
MR. PATRICK NATHAN BOSCACCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C. ; LAT
Contact information
Practice address
3087 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-7912
(901) 730-0681
(901) 730-0673
Mailing address
1500 W POPLAR AVE STE 201, COLLIERVILLE, TN 38017-0601
(901) 730-0681
(901) 730-0673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
874
TN
Other
Enumeration date
03/15/2011
Last updated
12/10/2019
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