MR. Benjamin M Willy, ATC

NPI #1164854303 in Jasper, Tennessee

Provider Information

NPI Number
1164854303
Entity Type
Individual
Name
MR. Benjamin M Willy, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jul 30, 2013
Last Updated
May 13, 2016

Practice Location

Address
4150 MAIN ST
City
Jasper
ZIP Code
37347-3445
Phone
(423) 942-8073

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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