Individual
DAROLYN LEAH NYHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
325 CHERRY STREET, MCKENZIE, TN 38201-3820
(731) 352-4294
Mailing address
325 CHERRY AVE, MC KENZIE, TN 38201-1769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022053
ATHLETIC TRAINING
—
Enumeration date
01/10/2018
Last updated
01/10/2018
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