Provider Demographics
NPI:1891723649
Name:NEWTON, JEANNIE E (DPT)
Entity Type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:E
Last Name:NEWTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:209 CHARLESTON DR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1207
Mailing Address - Country:US
Mailing Address - Phone:615-851-7070
Mailing Address - Fax:615-206-9014
Practice Address - Street 1:650 NASHVILLE PIKE STE 1
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3194
Practice Address - Country:US
Practice Address - Phone:615-206-9013
Practice Address - Fax:615-206-9014
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6717OtherLICENSE
TN4073274OtherBCBS PROVIDER ID
TN4073274OtherBCBS PROVIDER ID