Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA MIKULA CLACKUM, DPT
ActiveLYDIA MIKULA CLACKUM, DPT is a Physical Therapy Assistant healthcare provider located in LOGANVILLE, Georgia. NPI 1295228781 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOGANVILLE, GA
Registration Details
- NPI Number
- 1295228781
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2018 (8.1872282027711 yrs)
- Last Updated
- Jun 11, 2018
- License
-
PT013374 (GA)
Practice Information
- Address
-
3455 HIGHWAY 81 SOUTHLOGANVILLE, GA, 300523918Browse GA providers · Browse ZIP 30052
- Phone
- 6786358280
- Fax
- 6786358285
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS CHRISTOPHER WILSON | PT | 1174521868 |
| MRS. AMANDA G PILZ | MPT | 1518921295 |
| SUZANNE L KOLE | MPT | 1437199080 |
| TAMMY PETTY | P.T. | 1538100938 |
| BLAINE WOODY | PT | 1922043173 |
| MRS. MENDI MICHELLE SCHUBERT | PT | 1144315078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.