Individual
AUSTIN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
157 ROARKS COVE RD APT 2, SEWANEE, TN 37375-3006
(224) 321-2427
Mailing address
157 ROARKS COVE RD APT 2, SEWANEE, TN 37375-3006
(224) 321-2427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2476
TN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2016
Last updated
12/16/2024
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