MEDICARE: MRS. MINDEE SHALEE JONES MOT, OTRL

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
1	225X00000X	Occupational Therapist	3347	TN
2	225XP0200X	Pediatric Occupational Therapist	3347	TN

General Provider Information

NPI Number	:	1467503847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MINDEE SHALEE JONES MOT, OTRL

Provider Business Mailing Address
First Line	:	3005 GROUSE CIR
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-4508
Country	:	US
Telephone Number	:	615-483-0433
Fax Number	:	615-522-8342

Provider Business Practice Location Address
First Line	:	1647 MALLORY LN STE 103
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2927
Country	:	US
Telephone Number	:	615-661-5437
Fax Number	:	615-522-8342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	04/14/2009

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