Individual
DEIDRA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
141 HILLCREST DR, CLARKSVILLE, TN 37043-5088
(931) 552-4340
Mailing address
1060 W CREEK COYOTE TRL APT 1904, CLARKSVILLE, TN 37042-8269
(931) 801-0639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1364
TN
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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