Individual
MR. JEFF EDWARD DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
413 W BROADWAY, NEWPORT, TN 37821-2219
(423) 623-7777
(423) 623-0707
Mailing address
320 MADISON CIR, HARROGATE, TN 37752-7914
(423) 623-7777
(423) 623-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6689
TN
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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