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Individual

MS. PEGGY L BRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, EMT-IV

Contact information

Practice address
1412 SEVIERVILLE RD, MARYVILLE, TN 37804-5108
(865) 238-6077
(865) 238-6094
Mailing address
509 BORGHILD DR, MARYVILLE, TN 37801-5468
(865) 216-8204
(865) 982-0143

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
570
TN

Other

Enumeration date
04/12/2006
Last updated
05/19/2020
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