Provider Demographics
NPI:1508626649
Name:BARENDSE, JESSA (DPT)
Entity type:Individual
Prefix:
First Name:JESSA
Middle Name:
Last Name:BARENDSE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WALKER HILL ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-5484
Mailing Address - Country:US
Mailing Address - Phone:931-787-1715
Mailing Address - Fax:931-218-6996
Practice Address - Street 1:129 WALKER HILL ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5484
Practice Address - Country:US
Practice Address - Phone:931-787-1715
Practice Address - Fax:931-218-6996
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist