Provider Demographics
NPI:1831747880
Name:TURNER, ALEXANDER KENNETH (ATC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:KENNETH
Last Name:TURNER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 LIPSCOMB DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7020
Mailing Address - Country:US
Mailing Address - Phone:615-943-0264
Mailing Address - Fax:
Practice Address - Street 1:2543 JACKALOPE ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1550
Practice Address - Country:US
Practice Address - Phone:615-943-0264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer