Provider Demographics
NPI:1760671622
Name:JARRETT, CHRISTOPHER ALAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:JARRETT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2476
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31799-2476
Mailing Address - Country:US
Mailing Address - Phone:229-228-4155
Mailing Address - Fax:229-226-2321
Practice Address - Street 1:1203 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-4748
Practice Address - Country:US
Practice Address - Phone:229-228-4155
Practice Address - Fax:229-226-2321
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116558OtherMEDICARE
GA000296062AMedicaid