Individual
MRS. TERRI LYNN EMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, PTA
Contact information
Practice address
108 BEVERLY DR, ATOKA, TN 38004-7779
(901) 619-8657
(901) 475-9296
Mailing address
108 BEVERLY DR, ATOKA, TN 38004-7779
(901) 837-9779
(901) 475-9296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000000836
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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