Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THADDEUS O'BRIEN AVERY II, MS, ATC, LAT
ActiveTHADDEUS O'BRIEN AVERY II, MS, ATC, LAT is a Athletic Trainer healthcare provider located in GERMANTOWN, Tennessee. NPI 1790495679 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GERMANTOWN, TN
Registration Details
- NPI Number
- 1790495679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2022 (3.6599305463044 yrs)
- Last Updated
- Dec 1, 2022
- License
-
1171 (TN)
Practice Information
- Address
-
1400 S GERMANTOWN RDGERMANTOWN, TN, 381382205Browse TN providers · Browse ZIP 38138
- Phone
- 9017593100
- Fax
- 9017593189
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GERMANTOWN, TN
| Name | Credential | NPI |
|---|---|---|
| CARLOS L DOWELL | ATC | 1366573768 |
| MR. JAMES COREN SCATE | ATC,LAT | 1568648269 |
| MR. PATRICK NATHAN BOSCACCY | A.T.,C. ; LAT | 1689973711 |
| ERIC DANIEL ISOM | ATC, LAT, PES | 1174939367 |
| MRS. RACHEL FREDRICKS | ATC | 1831594621 |
| MELANIE LYNN | ATC | 1841687076 |
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.