Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sequoyha Raechelle Outlaw, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1659921948

Sequoyha Raechelle Outlaw, PT is a Physical Therapist in Private Practice in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with Jackson Clinic PA, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

176C W University Pkwy # C
Jackson, TN 38305-1616
Phone: (731) 300-4950
Fax: (731) 300-4951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Us Highway 45 W, Humboldt, TN 38343-8503 — (731) 784-7771

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 12410 (TN)

Record details

NPI number1659921948
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson