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

JESSICA HICKINBOTHAM, PT, MPT

Active Sole Proprietor

JESSICA HICKINBOTHAM, PT, MPT is a Physical Therapy Assistant healthcare provider located in MARIETTA, Georgia. NPI 1518360908 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MARIETTA, GA

Registration Details

NPI Number
1518360908
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2014 (11.888271035452 yrs)
Last Updated
Mar 5, 2021
License
PT009212 (GA)
Sole Proprietor
Yes

Practice Information

Address
1163 JOHNSON FERRY RD
MARIETTA, GA, 300682764
Browse GA providers · Browse ZIP 30068
Phone
4042761028
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MARIETTA, GA

Name Credential NPI
DR. HERBERT LEONARD SILVER PT, DSC, OCS, MBA 1720061062
BELVA-ANNE JERNIGAN WELLMAN PT 1902865256
MARC WESLEY WELLMAN PT 1407815764
BRADLEY JAMES DALE PT 1689622664
GAYATHRI DURAIPANDIAN PT 1437108636
MRS. ANITA GEORGE CHACKO P.T. 1831141696
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.