Provider Demographics
NPI:1346448362
Name:JONES, GAYE LEE (PT)
Entity type:Individual
Prefix:MRS
First Name:GAYE
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BUCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ROAN MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37687-3497
Mailing Address - Country:US
Mailing Address - Phone:423-772-3126
Mailing Address - Fax:423-772-3126
Practice Address - Street 1:146 BUCK CREEK RD
Practice Address - Street 2:
Practice Address - City:ROAN MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37687-3497
Practice Address - Country:US
Practice Address - Phone:423-772-3126
Practice Address - Fax:423-772-3126
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist