Individual
REBECCA SPEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2130 BRANNER AVE, JEFFERSON CITY, TN 37760-2210
(252) 567-0851
Mailing address
2130 BRANNER AVE, JEFFERSON CITY, TN 37760-2210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2933
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2019
Last updated
09/29/2022
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