Individual
AMANDA JOYCE CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC-LAT
Contact information
Practice address
1410 SEVIERVILLE RD, MARYVILLE, TN 37804-5108
(865) 238-6090
Mailing address
1410 SEVIERVILLE RD, MARYVILLE, TN 37804-5108
(865) 238-6090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1842
TN
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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