NPI 1013019959

Stephanie Michelle Vander Velden, MHRATC

Practitioner Athletic Trainer Mt Juliet, TN

Practice location

Address: 151 Adams Ln STE 11, Mt Juliet, TN 37122-8320
Phone: (615) 773-1561
Fax: (615) 773-1564
Mailing address: 4261 Chesney Glen Dr, Hermitage, TN 37076-4431

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0000000791 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1013019959
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 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.