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Individual

LACEE RHEA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1103 VILLAGE DR, SEVIERVILLE, TN 37862-5029
(865) 908-7041
(865) 908-7043
Mailing address
1103 VILLAGE DR, SEVIERVILLE, TN 37862-5029
(865) 908-7041
(865) 908-7043

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11747
TN

Other

Enumeration date
06/26/2018
Last updated
09/17/2019
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