Individual
JACOB KNEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
857 COLLIER RD NW STE 1, ATLANTA, GA 30318-2544
(404) 419-7760
Mailing address
1152 BEECH HAVEN RD NE, ATLANTA, GA 30324-3804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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