Individual
JORDAN ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7558 MOUNTAIN GROVE DR, KNOXVILLE, TN 37920
(865) 577-8244
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16282
TN
225100000X
Physical Therapist
2024031309
MO
Other
Enumeration date
08/07/2024
Last updated
04/14/2025
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