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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ATHENA JACOWAY

Active Sole Proprietor

ATHENA JACOWAY is a Physical Therapist Assistant healthcare provider located in TUCKER, Georgia. NPI 1376905117 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · TUCKER, GA

Registration Details

NPI Number
1376905117
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2016 (10.416893223209 yrs)
Last Updated
Mar 22, 2016
License
CO078139 (GA)
Sole Proprietor
Yes

Practice Information

Address
2258 NORTHLAKE PKWY
390
TUCKER, GA, 300844019
Browse GA providers · Browse ZIP 30084
Phone
6787543507
Primary Specialty
Physical Therapist Assistant
1744P3200X

Other Physical Therapist Assistant Providers in TUCKER, GA

Name Credential NPI
SYLVIA EVANS 1629486725
BRENDA GORDON 1396132320
MALIKA DURHAM 1548796279
KENISHA LASHUN GARRETT 1467064931
MRS. SHIKINA LATRICE DE VEAUX SPECIALIST 1487226403
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.