Individual
JESSICA GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 824-5551
(731) 824-5568
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6266
TN
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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