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Search › Georgia › 225200000X

Jacob Shattuck, PTA

NPI 1881352516 · on the registry since 2021

Practice

Address
600 Eagle Lake Trl
Rome, GA 30165
Phone
(706) 368-9955
Organisation at this address
Broad River Rehabilitation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
TX, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-30

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