NPI 1063082469

Levi Dakota Grace

Practitioner Athletic Trainer Chattanooga, TN

Practice location

Address: 615 McCallie Ave, Chattanooga, TN 37403-2504
Phone: (423) 425-4111
Mailing address: 685 Chad Grace Rd, Red Boiling Springs, TN 37150-7309

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1063082469
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2021
Record last updated: 28 Jun 2021

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.