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Individual

MRS. LISA CAROL SCHUTT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
9430 PARK WEST BLVD, SUITE 230, KNOXVILLE, TN 37923-4200
(865) 560-8550
(865) 560-8551
Mailing address
1416 ALDENWOOD LN, KNOXVILLE, TN 37919-8401
(865) 531-7679

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000103
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000103
STATE LICENSE
TN
Enumeration date
02/28/2006
Last updated
07/08/2007
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