Individual
DR. JESSICA NICHOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1413 W BROADWAY AVE, MARYVILLE, TN 37801-3121
(865) 330-0013
Mailing address
805 CAMELLIA TRCE, MARYVILLE, TN 37801-3571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10878
TN
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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