Thaddeus O'Brien Avery II, MS, ATC, LAT
Athletic Trainer · Germantown, TN
Practice location
1400 S Germantown RdGermantown, TN 38138-2205
- Phone
- (901) 759-3100
- Fax
- (901) 759-3189
NPI record
- NPI
- 1790495679
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2022
- Last updated
- December 1, 2022
- Certified
- December 1, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
1171 | TN |
About Thaddeus Avery
Thaddeus O'Brien Avery II, MS, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1400 S Germantown Rd, Germantown, TN 38138-2205. The NPI number 1790495679 was assigned on December 1, 2022 and the record was last updated on December 1, 2022.
Thaddeus Avery lists a license in the registry: #1171 (TN) 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 Thaddeus O'Brien Avery II, MS, ATC, LAT?
The NPI number is 1790495679.
What is the phone number of Thaddeus Avery?
The phone number listed for the practice location is (901) 759-3100.
Where is Thaddeus Avery located?
1400 S Germantown Rd, Germantown, TN 38138-2205.
What is the taxonomy code for Thaddeus Avery?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
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.
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