Provider Demographics
NPI:1558898056
Name:BEGLEY, JULIANNE SUMMER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:SUMMER
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2988 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SNEEDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37869-3058
Mailing Address - Country:US
Mailing Address - Phone:423-300-8760
Mailing Address - Fax:
Practice Address - Street 1:401 SCENIC DR
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-2452
Practice Address - Country:US
Practice Address - Phone:423-921-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10109OtherPHYSICAL THERAPIST LICENSE NUMBER