Individual
JESSICA TRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111
—
MA
Enumeration date
10/24/2022
Last updated
10/24/2022
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