Provider Demographics
NPI:1346788262
Name:CARMAZZI, VERONICA DANIELLE (MS, ATC/L)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:DANIELLE
Last Name:CARMAZZI
Suffix:
Gender:F
Credentials:MS, ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-5547
Mailing Address - Country:US
Mailing Address - Phone:619-944-8596
Mailing Address - Fax:
Practice Address - Street 1:700 E EMERALD AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-5547
Practice Address - Country:US
Practice Address - Phone:619-944-8596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer