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NPI Code Detail

MEDICARE: THERESA RENE JONES PT

MEDICARE: THERESA RENE JONES 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 Therapist1101756KS
2225100000XPhysical Therapist2013018903MO

General Provider Information

NPI Number : 1710157409
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA RENE JONES PT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-4915
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 7932 N OAK TRFY STE 212
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-1424
Country : US
Telephone Number : 816-420-8251
Fax Number : 816-420-8207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2008
Last Update Date : 11/26/2019

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Directions to “ THERESA RENE JONES PT” Practice Location

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