Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEDD ALAN THORDERSON, PT
ActiveMR. JEDD ALAN THORDERSON, PT is a 2251E1300X healthcare provider located in VALDOSTA, Georgia. NPI 1972790822 is currently active in the NPPES registry. Verify at CMS.
2251E1300X · VALDOSTA, GA
Registration Details
- NPI Number
- 1972790822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2007 (18.915178226324 yrs)
- Last Updated
- Jan 8, 2025
- Licenses
-
PT007933 (GA)PT007933 (GA)
Practice Information
- Address
-
4340 KINGS WAYVALDOSTA, GA, 316026921Browse GA providers · Browse ZIP 31602
- Phone
- 2293339736
- Primary Specialty
-
2251E1300X
2251E1300X
- Additional Specialty
- 2251E1300X
Other 2251E1300X Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| LINDA ANN KING | PT, ECS, CHT | 1790776201 |
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.