DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JONATHAN M DEVAUL PT

MEDICARE: JONATHAN M DEVAUL PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7567TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13156797OTHERTNBCBS GROUP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194747410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN M DEVAUL PT
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 3575 KEITH ST NW
Second Line : STE 205
City : CLEVELAND
State : TN
Zip : 37312-4324
Country : US
Telephone Number : 423-559-0444
Fax Number : 423-559-0103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 09/11/2014

Similar Medicare Providers

1962458885 — ANN ELIZABETH UNDERWOOD MSPT
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103
1740483635 — MR. RANDY H. WORDE OTR, CHT, CEAS
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103
1184873580 — CLINT BRADLEY THOMAS OT, CHT
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103
1811257140 — KENDRA WEBB PTA
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103
1932455342 — JESSICA MORIAH COVERT ATC
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103
1215334081 — DANIELLE JEAN STITH ATC
Practice Location Address:
3575 KEITH ST NW , STE 205
CLEVELAND, TN
37312-4324
Practice Phone: 423-559-0444
Practice Fax: 423-559-0103

Directions to “ JONATHAN M DEVAUL PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.