Individual
MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
301 WIRE RD, AUBURN SCHOOL OF KINESIOLOGY, AUBURN, AL 36849-5419
(334) 844-4483
Mailing address
PO BOX 2528, TIFTON, GA 31793-2528
(423) 715-6715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002409
GA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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