Provider Demographics
NPI:1467562124
Name:PARRISH, JENNIFER (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CHARLTON RD
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-9663
Mailing Address - Country:US
Mailing Address - Phone:912-826-3654
Mailing Address - Fax:
Practice Address - Street 1:103 OKATIE CENTER BLVD N STE 105
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-3765
Practice Address - Country:US
Practice Address - Phone:843-705-4600
Practice Address - Fax:843-705-4615
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5137OtherLICENSE