Individual
MISS TYESHA MONIQUE KIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
15 MOUNT PELIA RD, MARTIN, TN 38237-3313
(731) 881-7679
Mailing address
154 MEADOWBROOK DR, MARTIN, TN 38237-3704
(540) 287-1790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2887
TN
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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