IndividualActive
Jacquelyn Shaughnessy, RPT
NPI 1629472402 · Geriatric Physical Therapist · Hixson, TN
Provider details
- NPI number
- 1629472402
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5156 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1224 Cranbrook Dr
Hixson, TN 37343-4804
Phone: (423) 309-7202
Fax: (423) 309-7202
Approximate (ZIP-level) locationGet directions
Mailing address
1224 Cranbrook Dr
Hixson, TN 37343-4804
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.