KELLIANNE BURDORF

CANE RIDGE, TN
NPI1538464045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2011-01-13
Last Update Date2012-10-11
Business Address
-- KELLIANNE BURDORF ATC
5000 MOUNTAIN SPRINGS DR
CANE RIDGE, TN 37013-5699
Phone number: 756-983-8487
Mailing Address
-- KELLIANNE BURDORF ATC
5000 MOUNTAIN SPRINGS DR
CANE RIDGE, TN 37013-5699
Phone number: