Individual
JESSICA SOUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 MULBERRY AVE, SELMER, TN 38375-2336
(731) 645-4501
(731) 645-4893
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14648
TN
225100000X
Physical Therapist
P13039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
08/02/2014
Last updated
12/19/2022
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