Jennifer Keele Nogodula, P.T.
Individual provider Active NPI Physical Therapist · MC Minnville, TN
NPI 1508913153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508913153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7062 (TN)
- Practice address
- 928 Old Smithville Rd
MC Minnville, TN 37110-6805 - Phone
- (931) 473-8431
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7062 | TN | Yes |
Addresses
Primary practice location
928 Old Smithville Rd
MC Minnville, TN 37110-6805
Mailing address
328 Riddle Rd
Manchester, TN 37355
Phone (931) 728-9192
Other providers in MC Minnville, TN
- NHC Healthcare McMinnville LLC
- NHC Healthcare-McMinnville LLC
- NHC-Op LP
- NHC-Op LP
- Ralph Todd Noblin
- Nra-McMinnville, Tennessee, LLC
- Omni Visions, Inc
- Shleena Bridget Overcast
- Misty Paris-Collins
- Linda Patton
All providers in MC Minnville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.