MEDICARE: MICHELLE MARIE TROPEANO ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	0000001263	TN

General Provider Information

NPI Number	:	1689811150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MARIE TROPEANO ATC

Provider Business Mailing Address
First Line	:	1620 18TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3134
Country	:	US
Telephone Number	:	973-907-3095
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BELMONT BLVD
Second Line	:	BELMONT UNIVERSITY ATHLETICS
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3758
Country	:	US
Telephone Number	:	615-460-8041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	01/20/2009

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