Individual provider · NPI-1

Leigh Ann Gaines, AT

Specialist/Technologist, Athletic Trainer · Jackson, TN

NPI number1396365573
StatusActive
Last updated in NPPESApr 17, 2020

Details

NPI
1396365573
Entity type
Individual (NPI-1)
Name
Leigh Ann Gaines
Credential
AT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2020
Certification date
Apr 17, 2020
Last updated
Apr 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer689TNYes

Practice location

343 Vann Dr
Jackson, TN 38305-6018

Phone 731-984-7640

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403

Phone 731-660-7971 · Fax 731-660-8739

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