Individual
JOSHUA LUCAS IVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 ALLEN DR, MARYVILLE, TN 37803-2523
(865) 951-8141
Mailing address
3103 ALLEN DR, MARYVILLE, TN 37803-2523
(865) 951-8141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1846
TN
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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