Individual
JESSICA NOENICKX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(800) 920-0834
Mailing address
2934 DUNLOP LN APT 1022, CLARKSVILLE, TN 37043-1590
(978) 807-8012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7940
TN
225200000X
Physical Therapy Assistant
9770
MA
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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