MEDICARE: KELLIANNE BURDORF 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

General Provider Information

NPI Number	:	1538464045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLIANNE BURDORF ATC

Provider Business Mailing Address
First Line	:	5000 MOUNTAIN SPRINGS DR
Second Line	:
City	:	CANE RIDGE
State	:	TN
Zip	:	37013-5699
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 MOUNTAIN SPRINGS DR
Second Line	:
City	:	CANE RIDGE
State	:	TN
Zip	:	37013-5699
Country	:	US
Telephone Number	:	756-983-8487
Fax Number	:

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

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	10/11/2012

Similar Medicare Providers

1063407351 — MR. CHRISTOPHER D HOLLOWAY MD
Practice Location Address:

4071 CANE RIDGE PKWY STE 112
ANTIOCH, TN
37013-2971

Practice Phone: 615-731-8390
Practice Fax: 615-731-8391

1447282009 — CYNTHIA L. SEEMAN M.D.
Practice Location Address:

6024 CANE RIDGE RD
ANTIOCH, TN
37013-3911

Practice Phone: 615-838-5505
Practice Fax: 615-807-3103

1366464018 — TARGET CORPORATION
Practice Location Address:

5330 CANE RIDGE RD
ANTIOCH, TN
37013-3839

Practice Phone: 615-731-1729
Practice Fax: 615-932-5271

1699861559 — DR. MEREDITH SCHWEITZER D.O.
Practice Location Address:

4071 CANE RIDGE PKWY STE 112
ANTIOCH, TN
37013-2971

Practice Phone: 615-731-8390
Practice Fax: 615-731-8391

1588701767 — SPECIAL NEEDS, INC.
Practice Location Address:

353 BATTLE RD
CANE RIDGE, TN
37013-4809

Practice Phone: 615-941-3039
Practice Fax: 615-941-3039

1982746186 — OPEN ARMS CARE CORPORATION
Practice Location Address:

5821 CANE RIDGE RD
ANTIOCH, TN
37013-3908

Practice Phone: 615-941-1006
Practice Fax:

Directions to “ KELLIANNE BURDORF ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.