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NPI Code Detail

MEDICARE: SADIE WILKINSON JONES DPT

MEDICARE: SADIE WILKINSON JONES DPT
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 Therapist12443TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112443OTHERTNLICENSE NUMBER

General Provider Information

NPI Number : 1548817349
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIE WILKINSON JONES DPT
Provider Business Mailing Address
First Line : 3823 WAYNOKA AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-6920
Country : US
Telephone Number : 601-527-4334
Fax Number :
Provider Business Practice Location Address
First Line : 1314 PEABODY AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3500
Country : US
Telephone Number : 901-321-5803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 02/03/2025

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