Provider Demographics
NPI:1851383038
Name:CHY, JONI MICHELLE (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:MICHELLE
Last Name:CHY
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:JONI
Other - Middle Name:MICHELLE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:1409 HIGHWAY 62 65 N
Practice Address - Street 2:STE 4
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-1911
Practice Address - Country:US
Practice Address - Phone:870-704-4076
Practice Address - Fax:870-741-0089
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2549225100000X
MO2002001975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W778Medicare ID - Type Unspecified
AR5W778OtherBLUE CROSS BLUE SHIELD