Individual
MR. JEFFREY BIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,ATC,LMT
Contact information
Practice address
501 BROADWAY, NASHVILLE, TN 37203-3980
(716) 400-9307
Mailing address
501 BROADWAY, NASHVILLE, TN 37203
(716) 400-9307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1746
TN
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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