Grayson Hunter Elmore, ATC
Individual provider Active NPI Athletic Trainer · Clarksville, TN
NPI 1881997906 · NPPES record last updated Aug 7, 2015
Key facts
- NPI
- 1881997906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0000001433 (TN)
- Practice address
- 2231 Madison St Ste J
Clarksville, TN 37043-6182 - Phone
- (931) 245-2845
- NPI assigned
- Dec 11, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001433 | TN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000001433 | TN | Yes |
Addresses
Primary practice location
2231 Madison St Ste J
Clarksville, TN 37043-6182
Mailing address
2231 Madison St Ste J
Clarksville, TN 37043-6182
Phone (931) 245-2845
Other providers in Clarksville, TN
- Roger Terry Ellis
- Sarah Eisen Ellis
- Angela Mae Ellison
- Terri Lynn Ellison
- Ellen Owen Elmore
- Jennifer Elrod
- Lisa M Ely
- Thomas Lee Ely
- Paschal Nnamdi Emelue
- Emergency Physicians of Montgomery County, PLLC
All providers in Clarksville, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.