Individual
JESSICA STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 BRISTOL HWY, JOHNSON CITY, TN 37601-1515
(423) 282-3311
Mailing address
309 QUAIL DR, JOHNSON CITY, TN 37601-2031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10705
TN
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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