Provider Demographics
NPI:1770253049
Name:JENMOBILITY REHAB
Entity Type:Organization
Organization Name:JENMOBILITY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CLT-LANA
Authorized Official - Phone:423-545-9544
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-0863
Mailing Address - Country:US
Mailing Address - Phone:423-545-9544
Mailing Address - Fax:423-545-9554
Practice Address - Street 1:415 ISBILL RD STE E
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-2148
Practice Address - Country:US
Practice Address - Phone:423-545-9544
Practice Address - Fax:423-545-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty