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NPI Code Detail

MEDICARE: JONI DAVIS PT, DPT

MEDICARE:   JONI  DAVIS  PT, DPT
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
12251P0200XPediatric Physical TherapistPT017210GA

General Provider Information

NPI Number : 1831937390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI DAVIS PT, DPT
Provider Business Mailing Address
First Line : 2214 BONNAVIT CT NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-4129
Country : US
Telephone Number : 678-644-3905
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 678-644-3905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2024
Last Update Date : 05/31/2026

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Directions to “ JONI DAVIS PT, DPT” Practice Location

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