Individual provider · Type 1 NPI

Jessica Gideon

Physical Therapy Assistant · Humboldt, TN

NPI number 1053845131 Active

Practice location

3525 Chere Carol Rd
Humboldt, TN 38343-3638

Call (731) 824-5551 Map

Fax (731) 824-5568

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X6266 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053845131

Jessica Gideon's National Provider Identifier is 1053845131, issued on Apr 17, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Humboldt, TN. The record was last updated on Apr 17, 2017.