Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LACKLEY, RPT
ActiveJENNIFER LACKLEY, RPT is a Physical Therapy Assistant healthcare provider located in FORSYTH, Georgia. NPI 1881064582 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORSYTH, GA
Registration Details
- NPI Number
- 1881064582
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2015 (10.81144414942 yrs)
- Last Updated
- Oct 7, 2015
- License
-
PT005260 (GA)
Practice Information
- Address
-
109 MARTIN LUTHER KING JR DRFORSYTH, GA, 310291689Browse GA providers · Browse ZIP 31029
- Phone
- 4789943390
- Fax
- 4788456252
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORSYTH, GA
| Name | Credential | NPI |
|---|---|---|
| HERSCHELL WAYNE WINTERS JR. | RPT | 1205880606 |
| DR. DANA A PETERMAN | PT, DPT | 1609097500 |
| HOPE MCPHAE MCCANN | PT | 1205260056 |
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.