Lamont Joseph Jack, PTA
Physical Therapy Assistant · Tucker, GA
Practice location
3888 Lavista RdTucker, GA 30084-5142
- Phone
- (770) 938-5740
NPI record
- NPI
- 1154979193
- Entity type
- Individual (Type 1)
- Enumeration date
- September 3, 2019
- Last updated
- September 3, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
PTA002207 | GA |
About Lamont Jack
Lamont Joseph Jack, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3888 Lavista Rd, Tucker, GA 30084-5142. The NPI number 1154979193 was assigned on September 3, 2019 and the record was last updated on September 3, 2019.
Lamont Jack lists a license in the registry: #PTA002207 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lamont Joseph Jack, PTA?
The NPI number is 1154979193.
What is the phone number of Lamont Jack?
The phone number listed for the practice location is (770) 938-5740.
Where is Lamont Jack located?
3888 Lavista Rd, Tucker, GA 30084-5142.
What is the taxonomy code for Lamont Jack?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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