NPI 1073904587

Yolanda Trenett Jackson, PTA

Practitioner Physical Therapy Assistant Atlanta, GA

Practice location

Address: 400 Embassy Row Suite 125, Atlanta, GA 30328-1667
Phone: (770) 225-8421
Fax: (866) 587-9993
Mailing address: 4201 Weems Rd, Columbus, GA 31909-3279

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA002327 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1073904587
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2015
Record last updated: 5 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.