Tara Diane Cates

NPI #1295384196 in Belvidere, Tennessee

Provider Information

NPI Number: 1295384196
Entity Type: Individual
Name: Tara Diane Cates
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 4, 2019
Last Updated: Sep 4, 2019

Practice Location

Address: 1496 BAXTER HOLLOW RD
City: Belvidere
State: Tennessee
ZIP Code: 37306-2309
Phone: (931) 691-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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