Individual
JONATHAN M DEVAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3575 KEITH ST NW, STE 205, CLEVELAND, TN 37312-4324
(423) 559-0444
(423) 559-0103
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7567
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBS GROUP NUMBER
TN
05
—
5441440
—
TN
Enumeration date
07/24/2006
Last updated
09/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us