JACOB DANIEL WOODARD

LEBANON, TN
NPI1629625363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  AT0000002113)
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
JACOB DANIEL WOODARD ATC, LAT
1411 W BADDOUR PKWY
LEBANON, TN 37087-2513
Phone number: 615-444-8262
Mailing Address
JACOB DANIEL WOODARD ATC, LAT
331 PIG BRANCH RD
BRUSH CREEK, TN 38547-5116
Phone number: 615-489-0621
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