Individual
KELSEY PETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 BRANNER AVE, JEFFERSON CITY, TN 37760-2210
(970) 817-1974
Mailing address
1988 KIDWELL RIDGE RD, MORRISTOWN, TN 37814-1724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2502
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2017
Last updated
09/29/2022
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