| Ethan Gainor Jackson, PT, DPT | |
|
455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767 | |
| (678) 985-0238 | |
| (678) 985-0136 |
| Full Name | Ethan Gainor Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 455 Philip Blvd Bldg 100-160, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891210456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT013032 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Gainor Jackson, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217 | Ethan Gainor Jackson, PT, DPT 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767 Ph: (678) 985-0238 |
Mrs. Julie G Cleveland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Dr. Brian Joseph Maloney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Zachary Hollis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Sidney Otiwu, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 Fax: 678-205-5462 | |
Deborah Cobb, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601-a Professional Drive, Suite 130, Lawrenceville, GA 30045 Phone: 770-813-0839 | |
Mrs. Erinn Schleicher Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043 Phone: 770-995-2379 Fax: 770-995-2385 | |
R2t2 Therapy Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1371 River Station Dr, Lawrenceville, GA 30045 Phone: 770-237-9591 |