Individual
JESSICA ELIZABETH BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1819 W CLINCH AVE STE 106, KNOXVILLE, TN 37916-2435
(865) 633-0259
(865) 524-5407
Mailing address
PO BOX 9118, MINNEAPOLIS, MN 55480-9118
(865) 694-7725
(865) 524-5047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8066
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505589
—
TN
Enumeration date
06/23/2008
Last updated
10/18/2022
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