Provider Demographics
NPI:1407941974
Name:SENNING, JONATHAN MAGNO
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:MAGNO
Last Name:SENNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 MONTGROVE GLEN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7375
Mailing Address - Country:US
Mailing Address - Phone:678-297-3894
Mailing Address - Fax:678-297-3890
Practice Address - Street 1:5755 NORTH POINT PKWY
Practice Address - Street 2:SUITE 31
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1143
Practice Address - Country:US
Practice Address - Phone:678-297-3894
Practice Address - Fax:678-297-3890
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist