Individual
JENNA LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 IVEY RD NW STE 1001, ACWORTH, GA 30101-4106
(770) 917-0924
(770) 917-0926
Mailing address
1100 CIRCLE 75 PKWY SE STE 1400, ATLANTA, GA 30339-3067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014329
GA
Other
Enumeration date
07/16/2018
Last updated
11/11/2025
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