Provider Demographics
NPI:1043551435
Name:JONES, ROSANNE KATHLEEN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNE
Middle Name:KATHLEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-9075
Mailing Address - Country:US
Mailing Address - Phone:423-839-0773
Mailing Address - Fax:
Practice Address - Street 1:1660 ALLEN RD
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-9075
Practice Address - Country:US
Practice Address - Phone:423-839-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMT9447225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist