# JACLYN M BANKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306143144
- **Gender:** F
- **Credential:** PT, DPT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 8983 | SC | Yes |
| 225100000X | Physical Therapist | PT013272 | GA | — |
| 225100000X | Physical Therapist | PT26642 | FL | — |
| 2255A2300X | Athletic Trainer | AL2464 | FL | — |
| 2255A2300X | Athletic Trainer | AT001852 | GA | — |

## Other

- **Enumeration date:** 02/14/2011
- **Last updated:** 09/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004041600 | — | FL |