Keenum, Jacqueline Therese

Keenum, Jacqueline Therese is an sole proprietor health care provider with primary practice located at 2554 Harrison Pike , Chattanooga TN 37406-1422. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Keenum, Jacqueline Therese can be contacted via phone (423) 227-9474.

Contact Information

Primary practice address
2554 Harrison Pike Chattanooga TN 37406-1422
Phone: (423) 227-9474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT0000006538 Tennessee

Profile Details

NPI number 1336300482
LBN Legal business name Keenum, Jacqueline Therese
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2008
Last updated Sep 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336300482 NPPES
Tennessee Other MT 0000006538 TENNESSEE MASSAGE THERAPY BOARD

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