Doctor Name: | JONI M. ROBERTSON |
NPI Number: | 1831524966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5365 |
Business Practice Address: | 2735 Highway 64 Suite 107 Eads, TN - 380283333 |
Business Phone Number: | 9012356171 |
Business Fax Number: | 9012356463 |
Mailing Address: | 2735 Highway 64, Suite 107 EADS |
State: | TN |
Postal Code: | 380283333 |
Phone Number: | 9012356171 |
Fax Number: | 9012356463 |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5365 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |