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Tadie Repoll Phillips

Specialist/Technologist, Athletic Trainer in Mobile, AL. Individual provider (NPI-1).

NPI number1346727872
StatusActive
Last updated in NPPESJul 26, 2018

Details

NPI
1346727872
Entity type
Individual (NPI-1)
Name
Tadie Repoll Phillips
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2018
Last updated
Jul 26, 2018

Taxonomy and licenses

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

Practice location

1213 Marietta Dr W
Mobile, AL 36618-2343

Phone 251-656-5207

Mailing address

1213 Marietta Dr W
Mobile, AL 36618-2343

Phone 251-656-5207

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