Coree Georgenson, LAT, ATC
NPI #1043608482 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1043608482
- Entity Type
- Individual
- Name
- Coree Georgenson, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jan 8, 2015
- Last Updated
- Jan 8, 2015
Practice Location
- Address
- 2130 BRANNER AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2210
- Phone
- (865) 471-4162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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