Individual
JESSICA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 WARFIELD BLVD, STE C & D, CLARKSVILLE, TN 37043-8904
(931) 906-4170
(931) 906-4173
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10586
TN
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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