Individual
MRS. KELLY M CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
1128 E WEISGARBER RD, KNOXVILLE, TN 37909-2674
(865) 680-7962
Mailing address
2763 SHERINGHAM DR, POWELL, TN 37849-4836
(865) 947-5848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
771
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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