NPI 1053845131

Jessica Gideon

Practitioner Physical Therapy Assistant Humboldt, TN

Practice location

Address: 3525 Chere Carol Rd, Humboldt, TN 38343-3638
Phone: (731) 824-5551
Fax: (731) 824-5568
Mailing address: 1804 Highway 45 Byp Suite 604, Jackson, TN 38305-4436

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 6266 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1053845131
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2017
Record last updated: 17 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.