Individual
JAY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
(731) 541-6251
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
(731) 541-6251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996904
ATHLETIC TRAINER CERTIFIED
TN
Enumeration date
01/15/2015
Last updated
01/15/2015
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