Individual
JEANNE ANN HARTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
8 W NORRIS RD STE B, NORRIS, TN 37828-1254
(865) 494-6868
(865) 494-6867
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506444
—
TN
01
—
4193212
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
CH4394
MEDICARE RAILROAD-GROUP
TN
Enumeration date
06/30/2008
Last updated
03/01/2012
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