Individual
MRS. JENNIFER NICOLE HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
7179 COLEMAN CIR, BAXTER, TN 38544-4566
(931) 261-6923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4567
TN
Other
Enumeration date
07/05/2009
Last updated
04/20/2017
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