Provider Demographics
NPI:1588680490
Name:ALLEN, JENNIFER LEIGH (DPT, HPCS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DPT, HPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WELLINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5739
Mailing Address - Country:US
Mailing Address - Phone:615-545-4271
Mailing Address - Fax:615-223-7549
Practice Address - Street 1:215 WELLINGTON WAY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5739
Practice Address - Country:US
Practice Address - Phone:615-545-4271
Practice Address - Fax:615-223-7549
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist