Wade Alan Bartlett, ATC

Individual provider Active NPI Athletic Trainer · Spring Hill, TN

NPI 1831201318 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831201318
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT 0000000335 (TN)
Practice address
1636 Fair House Rd
Spring Hill, TN 37174-6110
Phone
(615) 302-1363
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT 0000000335TNMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 0000000335 TN Yes

Addresses

Primary practice location

1636 Fair House Rd
Spring Hill, TN 37174-6110

Mailing address

1636 Fair House Rd
Spring Hill, TN 37174-6110
Phone (615) 302-1363

Other providers in Spring Hill, TN

All providers in Spring Hill, TN · Athletic Trainer in Tennessee

Sources for this page

Verify at the official NPI Registry.