Provider Demographics
NPI:1245462803
Name:WORD, JAMIE ALLISON (PT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ALLISON
Last Name:WORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 N WASHINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-2222
Mailing Address - Country:US
Mailing Address - Phone:931-393-2378
Mailing Address - Fax:931-393-2665
Practice Address - Street 1:1816 N WASHINGTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2222
Practice Address - Country:US
Practice Address - Phone:931-393-2378
Practice Address - Fax:931-393-2665
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT2666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist