Janna Ivens Reed

Individual provider Active NPI Physical Therapy Assistant · La Follette, TN

NPI 1568804201 · NPPES record last updated Sep 23, 2020

Key facts

NPI
1568804201
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5394 (TN)
Practice address
136 Davis LN
La Follette, TN 37766-3118
Phone
(423) 562-0760
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5394TNMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5394 TN Yes

Addresses

Primary practice location

136 Davis LN
La Follette, TN 37766-3118

Mailing address

1259 Peake LN
Knoxville, TN 37922-6737
Phone (865) 621-6124

Other providers in La Follette, TN

All providers in La Follette, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.