NPI 1053443465

Michael Brian Hawkins, MSACIATCLAT

Practitioner Athletic Trainer Greeneville, TN

Practice location

Address: 60 Shiloh Rd, Greeneville, TN 37745-0595
Phone: (423) 636-7317
Fax: (423) 636-7404
Mailing address: 6395 Snapps Ferry Rd, Afton, TN 37616-4821

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT 0000001008 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1053443465
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2007
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.