Female

Yolanda T. Jackson PTA

Physical Therapy Assistant in Atlanta, GA(View on Map)

Full Name

Yolanda Trenett Jackson PTA

NPI Number

1073904587

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/05/2015

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

PTA002327

Contact
Information

Purpose

Mailing
Location

Address

4201 WEEMS RD
400 EMBASSY ROW

City

Columbus
Atlanta

State

GA
GA

Postal Code

31909-3279
30328-1667

Country

US
US

Telephone Number

(706) 905-9256
(770) 225-8421

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/05/2015

Provider Address

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