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

BEVERLY BLAKELY, PT

Active Sole Proprietor

BEVERLY BLAKELY, PT is a Physical Therapy Assistant healthcare provider located in FAYETTEVILLE, Georgia. NPI 1417077116 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAYETTEVILLE, GA

Registration Details

NPI Number
1417077116
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2007 (19.355305937376 yrs)
Last Updated
Jul 8, 2007
License
PT000628 (GA)
Sole Proprietor
Yes

Practice Information

Address
1255 HIGHWAY 54 W
FAYETTEVILLE, GA, 302144526
Browse GA providers · Browse ZIP 30214
Phone
7707197182
Fax
7707197189
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FAYETTEVILLE, GA

Name Credential NPI
DR. PATRICIA PERRY BRUBAKER DPT 1366409708
MRS. KAREN G BARBER 1790713279
DR. KRISTIN RENEE AYERS DPT 1487664975
MR. AARON L. ADAMS RPT 1225147820
SUSAN J. LEGER P.T. 1063508521
MR. DANIEL EDWARD WORTHINGTON P.T. 1780755124
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.