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Individual

MRS. KRISTINE ALEES WOODRUM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
9202 S NORTHSHORE DR, KNOXVILLE, TN 37922-6327
(865) 384-7086
Mailing address
7601 HEUMSDALE DR, KNOXVILLE, TN 37924-3847
(865) 384-7086

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
304
TN

Other

Enumeration date
10/13/2005
Last updated
07/08/2007
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