Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY ALAN DEDEKER, MSS
ActiveAthletic Trainer · OOLTEWAH, TN
Registration Details
- NPI Number
- 1831416395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2010 (15.997480155213 yrs)
- Last Updated
- Apr 23, 2010
Practice Information
- Address
-
6711 MOUNTAIN VIEW RD STE 115OOLTEWAH, TN, 373636667Browse TN providers · Browse ZIP 37363
- Phone
- 4232381127
- Fax
- 4232381277
- Primary Specialty
-
Athletic Trainer
225500000X
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.