Individual
MS. JENNIFER RENEE GROVATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3436 CHANDLER COVE WAY, ANTIOCH, TN 37013-4576
(615) 416-3864
Mailing address
3436 CHANDLER COVE WAY, ANTIOCH, TN 37013-4576
(615) 416-3864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310033
TN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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