Whalio Doctors

NPI 1306299441

Kimberly Michelle Lancaster, ATC

Practitioner Athletic Trainer Hixson, TN

Practice location

Address
5022 Old Godsey Ln STE 3, Hixson, TN 37343-6600
Phone
(423) 870-3573
Fax
(423) 870-3574
Mailing address
8823 Production Ln, Ooltewah, TN 37363-6511

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2099 (TN)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002750 (GA)

Registry record

NPI
1306299441
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Jul 2016
Record last updated
1 Aug 2016

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.