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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN JACK PERRY

Active Sole Proprietor

ETHAN JACK PERRY is a Athletic Trainer healthcare provider located in CHATTANOOGA, Tennessee. NPI 1497228761 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CHATTANOOGA, TN

Registration Details

NPI Number
1497228761
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2019 (7.571024784917 yrs)
Last Updated
Jan 9, 2019
Sole Proprietor
Yes

Practice Information

Address
4025 OAKWOOD DR APT 422
CHATTANOOGA, TN, 374162380
Browse TN providers · Browse ZIP 37416
Phone
7316939283
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CHATTANOOGA, TN

Name Credential NPI
MEREDITH ANN ATWOOD MS, ATC, LAT 1396700530
KRISTINA LEIGH NEAL MS, ATC, LAT 1558311860
DR. GARY BLAINE WILKERSON ED.D., A.T.C. 1639106362
DAVID K PETTY ATC 1598797151
MELISSA MARIE GUINN M.S., A.T.C. 1447388384
MR. JOSEPH TODD BULLARD ATC 1205965902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.