Individual
JOSHUA DEAN STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
15 COURTHOUSE SQ, JASPER, TN 37347-3531
(423) 942-8073
(423) 942-6660
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
PT7681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST GROUP PIN
TN
Enumeration date
04/28/2008
Last updated
05/08/2008
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