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Jennifer Lackley, RPT
NPI 1881064582 · on the registry since 2015
Practice
- Address
- 109 Martin Luther King Jr Dr
Forsyth, GA 31029 - Phone
- (478) 994-3390
- Fax
- (478) 845-6252
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia