Provider Demographics
NPI:1225326309
Name:JESSEE, BRITTANY LEIGH (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEIGH
Last Name:JESSEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22114 TERRA CARO CIR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24202-4120
Mailing Address - Country:US
Mailing Address - Phone:423-383-4374
Mailing Address - Fax:
Practice Address - Street 1:22114 TERRA CARO CIR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-4120
Practice Address - Country:US
Practice Address - Phone:423-383-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25617225100000X
VA2305206563225100000X
TN0000008792225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist