Kennedy Dewey-Mighell, LAT, ATC

NPI #1194413112 in Columbia, Tennessee

Provider Information

NPI Number
1194413112
Entity Type
Individual
Name
Kennedy Dewey-Mighell, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Apr 27, 2023
Last Updated
Apr 27, 2023

Practice Location

Address
1665 HAMPSHIRE PIKE
ZIP Code
38401-5653
Phone
(815) 973-2628

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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