Provider Demographics
NPI:1730364498
Name:JONES, JENNIFER STROBLE (MSPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:STROBLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 PRINCETON LN
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5338
Mailing Address - Country:US
Mailing Address - Phone:706-338-9851
Mailing Address - Fax:706-769-5257
Practice Address - Street 1:1031 PRINCETON LN
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-5338
Practice Address - Country:US
Practice Address - Phone:706-338-9851
Practice Address - Fax:706-769-5257
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist