Benjamin M. Willy, ATC
Athletic Trainer · Jasper, TN
Practice location
4150 Main StJasper, TN 37347-3445
- Phone
- (423) 942-8073
- Fax
- (423) 942-6660
NPI record
- NPI
- 1164854303
- Entity type
- Individual (Type 1)
- Enumeration date
- July 30, 2013
- Last updated
- May 13, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
2056 | TN |
| Athletic Trainer | 2255A2300X |
AT 558 | AR |
Mailing address
8823 Production LnOoltewah, TN 37363-6511
- Phone
- (423) 238-7217
- Fax
- (423) 238-3473
About Benjamin Willy
Benjamin M. Willy, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4150 Main St, Jasper, TN 37347-3445. The NPI number 1164854303 was assigned on July 30, 2013 and the record was last updated on May 13, 2016.
Benjamin Willy lists 2 licenses in the registry: #2056 (TN) for Athletic Trainer; #AT 558 (AR) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Benjamin M. Willy, ATC?
The NPI number is 1164854303.
What is the phone number of Benjamin Willy?
The phone number listed for the practice location is (423) 942-8073.
Where is Benjamin Willy located?
4150 Main St, Jasper, TN 37347-3445.
What is the taxonomy code for Benjamin Willy?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.