Individual
MRS. JEANNE H POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(865) 376-4620
(865) 376-1759
Mailing address
187 GALLAHER ROAD, KINGSTON, TN 37763
(865) 376-4620
(865) 376-1759
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7137
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136403
BCBS
TN
Enumeration date
10/03/2006
Last updated
07/08/2007
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