Individual
BEVERLY JOAN STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-8015
(615) 758-4100
(615) 758-5450
Mailing address
317 BOWWOOD DR, NASHVILLE, TN 37217-2301
(615) 294-9639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1019
TN
225700000X
Massage Therapist
9616
TN
Other
Enumeration date
10/27/2011
Last updated
01/02/2019
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