Individual
MR. JEREMY SHANE DEVOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5063
Mailing address
208 DOGWOOD DR, GREENEVILLE, TN 37745-6412
(423) 636-7517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8794
TN
225200000X
Physical Therapy Assistant
PTA0000003175
TN
Other
Enumeration date
03/16/2007
Last updated
09/14/2010
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