Individual
JACQUELYN SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1224 CRANBROOK DR, HIXSON, TN 37343-4804
(423) 309-7202
(423) 309-7202
Mailing address
1224 CRANBROOK DR, HIXSON, TN 37343-4804
(423) 309-7202
(423) 309-7202
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5156
TN
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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