Individual
ELIZABETH ANNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
721 BRYAN DR, DAYTON, TN 37321-6275
(423) 775-7254
(423) 775-7487
Mailing address
721 BRYAN DR # 7813, DAYTON, TN 37321-6275
(423) 775-7254
(423) 775-7487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1501
TN
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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