Provider Demographics
NPI:1114692142
Name:JONES, AVERIE (PT, DPT, CERT DN)
Entity Type:Individual
Prefix:DR
First Name:AVERIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PT, DPT, CERT DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 REDWINE RD APT 2323
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30344-5900
Mailing Address - Country:US
Mailing Address - Phone:850-509-9306
Mailing Address - Fax:
Practice Address - Street 1:3755 REDWINE RD APT 2323
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-5900
Practice Address - Country:US
Practice Address - Phone:850-509-9306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist