Denise Alder, ATC
Specialist/Technologist, Athletic Trainer in Afton, TN. Individual provider (NPI-1).
NPI number1639620537
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1639620537
- Entity type
- Individual (NPI-1)
- Name
- Denise Alder
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1916 | TN | Yes |
Practice location
365 Ripley Island RdAfton, TN 37616-5860
Phone 630-815-9646
Mailing address
1185 W Mountain View RdApt 3319
Johnson City, TN 37604-2523
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