Shattuck, Jacob Randolph
Shattuck, Jacob Randolph is an individual health care provider with primary practice located at 600 Eagle Lake Trl , Rome GA 30165-2207. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Shattuck, Jacob Randolph can be contacted via phone (706) 368-9955.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2136779 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | CP008628A | Georgia |
Profile Details
| NPI number | 1881352516 |
|---|---|
| LBN Legal business name | Shattuck, Jacob Randolph |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2021 |
| Last updated | Nov 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Nichols, Donald Eric
201 Turner Mccall Blvd Nw , Rome GA 30165-2545 -
Conway, Brynley Sierra
108 Sanders Ave Sw , Rome GA 30161-3883 -
Whitefield, James Chadwick
3478 Martha Berry Hwy Ne , Rome GA 30165-7713 -
Johnson, Cody
809 S Broad St Sw , Rome GA 30161-4654 -
Miller, Christine
500 Eagle Lake Trl , Rome GA 30165-2246 -
Morris, Stephen
1345 Redmond Cir Nw , Rome GA 30165-1307 -
Hopkins, Seth
600 Eagle Lake Trl , Rome GA 30165-2207 -
Carver, Jennifer Ann
519 Broad St Ste 300 , Rome GA 30161-1736