Individual
JEMINA S LEVEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 CLAYTON DR, SMYRNA, TN 37167-6471
(615) 582-3953
Mailing address
1524 CLAYTON DR, SMYRNA, TN 37167-6471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7328
TN
225200000X
Physical Therapy Assistant
Primary
7328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7328
TN DEPT OF HEALTH
TN
Enumeration date
10/04/2021
Last updated
10/04/2021
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