Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 9136 | TN |
NPI | 1013461219 |
---|---|
Provider Name | Courtney Jones |
First Address | Nashville, TN 37221-3021 |
Second Address | Nashville, TN 37221-3021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2016 |
Last Update Date | 05/08/2016 |