Individual
MISS JESSICA DAWN MANESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 DEVONSHIRE SQ STE 7, JACKSON, TN 38305-2267
(731) 660-5902
Mailing address
520 PARKER LN, BEECH BLUFF, TN 38313-1633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5028
TN
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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