MEDICARE: ANNA CAROLINE UNNASCH LAT, 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	3145	TN

General Provider Information

NPI Number	:	1932981909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA CAROLINE UNNASCH LAT, ATC

Provider Business Mailing Address
First Line	:	1109 SPRING CREEK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5145
Country	:	US
Telephone Number	:	858-776-8070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 EDGEHILL AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2198
Country	:	US
Telephone Number	:	615-321-8000
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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