Individual
MRS. JESSICA ANNE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 LEBANON VALLEY CHURCH RD, CLEVELAND, TN 37311-8477
(423) 715-0300
(423) 479-4421
Mailing address
500 LEBANON VALLEY CHURCH RD, CLEVELAND, TN 37311-8477
(423) 715-0300
(423) 479-4421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6575
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130584
BCBS PROVIDER NO
TN
05
—
5441018
—
TN
Enumeration date
04/12/2007
Last updated
08/10/2010
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