Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KADARIUS JACK, DPT
ActiveKADARIUS JACK, DPT is a Physical Therapy Assistant healthcare provider located in ATOKA, Tennessee. NPI 1578298022 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ATOKA, TN
Registration Details
- NPI Number
- 1578298022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2022 (4.0765083070617 yrs)
- Last Updated
- Jun 14, 2025
- License
-
16552 (TN)
Practice Information
- Address
-
13690 HIGHWAY 51 S STE 104ATOKA, TN, 380047645Browse TN providers · Browse ZIP 38004
- Phone
- 9012594254
- Fax
- 9017258353
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ATOKA, TN
| Name | Credential | NPI |
|---|---|---|
| DR. MILFRED OLIN ECKEL III | PT | 1407804461 |
| DAWN B CALDWELL | PT | 1528015617 |
| DR. KENNETH PHILLIP MCMAHON | DPT | 1477684348 |
| BRADLEY LANGLEY | — | 1275764664 |
| MELANIE ANN WRIGHT | P.T. | 1447580592 |
| DR. MICHAEL JOHN MAJESTIC | DPT | 1952647018 |
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.