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NPI Code Detail

MEDICARE: JENNIFER H HIGHTOWER PHYSICAL THERAPIST

MEDICARE: JENNIFER H HIGHTOWER PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT003466OTHERGAPHYSICAL THERAPY

General Provider Information

NPI Number : 1619431764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER H HIGHTOWER PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : PO BOX 663
Second Line :
City : THOMASVILLE
State : GA
Zip : 31799-0663
Country : US
Telephone Number : 229-221-5567
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W SCREVEN ST
Second Line :
City : QUITMAN
State : GA
Zip : 31643-3913
Country : US
Telephone Number : 229-469-8074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 01/23/2019

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