Organization
JASPER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA T POTTER (OWNER)
(706) 692-9080
Entity
Organization
Contact information
Practice address
620 J L WHITE DR, SUITE 110, JASPER, GA 30143-4896
(706) 692-9080
(706) 692-1199
Mailing address
620 J L WHITE DR, SUITE 110, JASPER, GA 30143-4896
(706) 692-9080
(706) 692-1199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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