Individual
COURTNEY SHEA BRACKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
437 SANDERS BLUFF RD, HUMBOLDT, TN 38343-8545
(731) 695-5841
Mailing address
437 SANDERS BLUFF RD, HUMBOLDT, TN 38343-8545
(731) 695-5841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TN
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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