NPI 1073145470

Jessica Wacker, PTA

Practitioner Physical Medicine & Rehabilitation Physician Knoxville, TN

Practice location

Address: 809 E Emerald Ave, Knoxville, TN 37917-5550
Phone: (865) 524-7366
Mailing address: 135 Sheffield Dr, Clinton, TN 37716-6253

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5147 (TN)

Other Physical Medicine & Rehabilitation providers in Tennessee →

Registry record

NPI: 1073145470
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2020
Record last updated: 4 Feb 2020

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.