NPI 1174939367

Eric Daniel Isom, ATCLATPES

Practitioner Athletic Trainer Germantown, TN

Practice location

Address: 1400 S Germantown Rd, Germantown, TN 38138-2205
Phone: (901) 759-3180

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1246 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1174939367
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2014
Record last updated: 8 Jul 2014

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.