Provider Demographics
NPI:1063474062
Name:BRIDGES, JENNIFER J (AT-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:J
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:AT-C
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:J
Other - Last Name:HUELSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5671 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-5000
Mailing Address - Country:US
Mailing Address - Phone:404-531-8590
Mailing Address - Fax:404-531-8581
Practice Address - Street 1:5671 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 900
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-5000
Practice Address - Country:US
Practice Address - Phone:404-531-8590
Practice Address - Fax:404-531-8581
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0007122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer