Wentworth, Jay M

Wentworth, Jay M is an individual health care provider with primary practice located at 145 Innovation Dr , Jackson TN 38305-3019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wentworth, Jay M can be contacted via phone (731) 422-0213.

Contact Information

Primary practice address
145 Innovation Dr Jackson TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 668-6757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6324 Tennessee

Profile Details

NPI number 1447317078
LBN Legal business name Wentworth, Jay M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Oct 25th, 2023 - about 2 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 1447317078 NPPES
Tennessee MEDICAID 3375781

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