Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIAH YVETTE FULFORD, PT, DPT
ActiveNIAH YVETTE FULFORD, PT, DPT is a Physical Therapy Assistant healthcare provider located in ELLENWOOD, Georgia. NPI 1417071564 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ELLENWOOD, GA
Registration Details
- NPI Number
- 1417071564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2007 (19.384821091577 yrs)
- Last Updated
- Jun 14, 2021
- Licenses
-
050120183A (IN)2305204685 (VA)PT015191 (GA)
Practice Information
- Address
-
2838 E ATLANTA RD STE 2ELLENWOOD, GA, 302942780Browse GA providers · Browse ZIP 30294
- Phone
- 6787823609
- Fax
- 6787823803
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| TAMALA BLEVINS | — | 1053486811 |
| MONIQUE SIMMONS DILLARD | PT | 1790908572 |
| MRS. DEBORAH JONES | PT | 1912106931 |
| MISS LATALVIA PARAMORE | PT | 1063677201 |
| FRANCINE ELLIS | MPT | 1831333707 |
| MS. SERAH IYABODE AYOOLA | DPT | 1831329663 |
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.