NPI 1043608482

Coree Georgenson, LATATC

Practitioner Athletic Trainer Jefferson City, TN

Practice location

Address: 2130 Branner Ave, Jefferson City, TN 37760-2210
Phone: (865) 471-4162

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0000001827 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1043608482
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2015
Record last updated: 8 Jan 2015

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.