Individual
JASON R STOOKSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
102 N MASSACHUSETTS AVE, SUITE 6, LA FOLLETTE, TN 37766-2847
(423) 907-0064
(423) 907-0065
Mailing address
102 N MASSACHUSETTS AVE, SUITE 6, LA FOLLETTE, TN 37766-2847
(423) 907-0064
(423) 907-0065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7046
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3647224
—
TN
Enumeration date
10/18/2006
Last updated
03/05/2008
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