Jamie Marie Borntrager

NPI 1013217694 - Physical Therapist - 225100000X

NPI Details
NPI 1013217694
Gender Female
Enumeration Date 10/28/2010
Last Updated 10/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
670 SKYLINE DR
JACKSON TN, 38301-3934, US
Phone (731) 541-6844
Fax (731) 541-4436
Business Location
448 W UNIVERSITY PKWY
JACKSON TN, 38305-3528, US
Phone (731) 394-4395
Fax
Toxanomy
Taxonomy Code 225100000X
License State Tennessee
License Number 0000004380
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According to our database, Mrs. Jamie Marie Borntrager NPI is 1013217694, taxonomy code is 225100000X and license number is 0000004380, license state is located at Tennessee. Jamie Marie Borntrager physically located at 670 Skyline Dr, Jackson TN, 38301-3934. NPI Number Jamie Marie Borntrager has the Individual type.

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1013217694 NPI number is provided on an as is basis without warranty of any kind. 1013217694 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie Marie Borntrager are for informational purposes only.