| Doctor Name: | JIMMY CROSNOE |
| NPI Number: | 1184692303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT1708 |
| Business Practice Address: | 616 W Forest Ave Jackson, TN - 383013902 |
| Business Phone Number: | 7314220330 |
| Business Fax Number: | 7314220220 |
| Mailing Address: | Po Box 400, JACKSON |
| State: | TN |
| Postal Code: | 383020400 |
| Phone Number: | 7314238697 |
| Fax Number: | 7314225743 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 10/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |