Provider Demographics
NPI:1194389213
Name:JONES, CHRISTIAN (LMMP)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LMMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 W RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-1148
Mailing Address - Country:US
Mailing Address - Phone:615-972-7002
Mailing Address - Fax:
Practice Address - Street 1:243 W RAILROAD ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-1148
Practice Address - Country:US
Practice Address - Phone:615-972-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11786225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist