NPI 1003845348
Justin Wayne McKinney, MSATC
Practice location
- Address
- 1616 W Main St, Lebanon, TN 37087-3100
- Phone
- (615) 443-6818
- Mailing address
- 102 Bent Tree CT, Lebanon, TN 37087-2057
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1003845348
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jun 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.