Individual provider · NPI-1

Alexander Aden, ATC

Specialist/Technologist, Athletic Trainer · Jackson, TN

NPI number1114673043
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1114673043
Entity type
Individual (NPI-1)
Name
Alexander Aden
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2022
Certification date
Mar 1, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1050 Union University Dr
Jackson, TN 38305-3697

Phone 731-661-6591

Mailing address

156 Maywood Dr
Jackson, TN 38305-2856

Phone 731-225-9520

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