Doctor Name: | JASON R STOOKSBURY |
NPI Number: | 1649351321 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 7046 |
Business Practice Address: | 102 N Massachusetts Ave Suite 6 La Follette, TN - 377662847 |
Business Phone Number: | 4239070064 |
Business Fax Number: | 4239070065 |
Mailing Address: | 102 N Massachusetts Ave, Suite 6 LA FOLLETTE |
State: | TN |
Postal Code: | 377662847 |
Phone Number: | 4239070064 |
Fax Number: | 4239070065 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7046 |
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 |