Individual
MS. KAREN JOELENE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1408 NOEL DR NE, ATLANTA, GA 30319-3938
(404) 333-2096
Mailing address
1408 NOEL DR NE, ATLANTA, GA 30319-3938
(404) 333-2096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001044
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110302104
NATA BOC CERTIFICATION
—
Enumeration date
10/28/2014
Last updated
10/28/2014
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