Individual
MRS. ALICIA JACKSON JUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
8110 CORDOVA RD, STE 107, CORDOVA, TN 38016-0520
(901) 756-1650
(901) 756-1396
Mailing address
8110 CORDOVA ROAD, STE 107, CORDOVA, TN 38016-0517
(901) 756-1650
(901) 756-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6841
TN
Other
Enumeration date
06/21/2005
Last updated
09/16/2008
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