Detraves Neville Thicklin, ATC
NPI #1184167686 in Soddy Daisy, Tennessee
Provider Information
- NPI Number
- 1184167686
- Entity Type
- Individual
- Name
- Detraves Neville Thicklin, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 1, 2016
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 210 WALMART DR
- Address 2
- STE 100
- City
- Soddy Daisy
- State
- Tennessee
- ZIP Code
- 37379-5022
- Phone
- (423) 332-9490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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