Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETRA GODEFRIEDA MYSIEWICZ, PT
Active Sole ProprietorPETRA GODEFRIEDA MYSIEWICZ, PT is a Physical Therapy Assistant healthcare provider located in JACKSON, Tennessee. NPI 1790304301 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSON, TN
Registration Details
- NPI Number
- 1790304301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2020 (6.3495376778247 yrs)
- Last Updated
- Apr 14, 2020
- License
-
2244 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1535 VANN DRJACKSON, TN, 383052095Browse TN providers · Browse ZIP 38305
- Phone
- 7319849962
- Fax
- 7319849941
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| MR. PAYTON MICHAEL REDDEN | M.P.T | 1447257746 |
| MARIA ROSSANA S. DATUIN | PT | 1649248097 |
| JIMMY CROSNOE | PT | 1184692303 |
| JANNA S MCKNIGHT | PT | 1518908359 |
| MITCHELL E GRAVES | PT | 1356384267 |
| MICHELLE WILLIS MARTIN | PT | 1457395196 |
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.