Individual
JESSICA LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
505 ELLINGTON DR STE A, LAFAYETTE, TN 37083-1074
(615) 666-5895
Mailing address
505 ELLINGTON DR STE A, LAFAYETTE, TN 37083-1074
(615) 666-5895
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6875
TN
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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