Individual
JAMES OWEN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1646 RUSSELL AVE, JEFFERSON CITY, TN 37760-2204
(615) 509-6822
Mailing address
1047 MARTHA GLASS DR, JEFFERSON CITY, TN 37760-2075
(615) 509-6822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001969
TN
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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