Individual
JESSICA LYNN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
133 JORDAN LN, PARSONS, TN 38363-5078
(731) 847-7240
Mailing address
57 BATTLEGROUND DR, WILDERSVILLE, TN 38388-7529
(731) 307-8312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4011
TN
Other
Enumeration date
03/13/2007
Last updated
05/20/2008
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