Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Petz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881113918

Kelsey Petz is a Student in an Organized Health Care Education/Training Program in Jefferson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2130 Branner Ave
Jefferson City, TN 37760-2210
Phone: (970) 817-1974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2502 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881113918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2017
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address1988 Kidwell Ridge Rd, Morristown, TN 37814-1724

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