Individual
JACOB EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
612 LYLE ST STE 118, JOHNSON CITY, TN 37604-8001
(423) 328-3156
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TN
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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