Provider Demographics
NPI:1558309807
Name:PRESSLEY, JENNIFER J (DPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:J
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:R
Other - Last Name:JONES, SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-373-7116
Practice Address - Street 1:2600 TAFT HWY STE 400
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-2778
Practice Address - Country:US
Practice Address - Phone:423-886-6979
Practice Address - Fax:423-886-6962
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1176225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5441653Medicaid
TN0446652Medicaid
TN3156797OtherBCBST - GROUP NUMBER
TN5441653Medicaid