Individual
JAMIE SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2899 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5803
(770) 978-0005
(770) 978-0405
Mailing address
2899 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5803
(770) 978-0005
(770) 978-0405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008682
GA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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