Provider Demographics
NPI:1376111724
Name:JESSEE, SARAH JONES (DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JONES
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 1:1588 GRASSY POND RD
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-7853
Mailing Address - Country:US
Mailing Address - Phone:434-594-4157
Mailing Address - Fax:
Practice Address - Street 1:105 RUFFIN ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1320
Practice Address - Country:US
Practice Address - Phone:434-634-3748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist