Individual
JESSICA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1404 TUSCULUM BLVD STE 3200, GREENEVILLE, TN 37745-4649
(423) 636-2651
(423) 638-5160
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
05/18/2018
Last updated
09/18/2023
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