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Search › Georgia › 225100000X

Matthew Jacobson, PT, DPT, ATC

NPI 1992161178 · on the registry since 2016

Practice

Address
788 Prince Ave Ste C
Athens, GA 30606
Phone
(706) 543-2111
Organisation at this address
Spine Dynamics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2255A2300X
Licence states on file
IL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-20

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