Individual
MERIANNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8663 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923-1612
(865) 801-9380
(865) 381-0707
Mailing address
8663 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923-1612
(865) 801-9380
(865) 381-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11279
TN
2251X0800X
Orthopedic Physical Therapist
11279
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348278
—
WA
Enumeration date
07/31/2006
Last updated
01/17/2018
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