Whalio Doctors

NPI 1326001207

Misty Depriest Hudgins, MSATCL

Practitioner Athletic Trainer Jefferson City, TN

Practice location

Address
2130 S Branner Avenue Cn Box 72030 -, Jefferson City, TN 37760
Phone
(865) 471-4846
Fax
(865) 471-4790
Mailing address
1709 McCown Ave, Jefferson City, TN 37760-2127

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI
1326001207
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2006
Record last updated
11 Sep 2009

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.