Provider Demographics
NPI:1922752187
Name:STUGER, JOSHUA JEROME (DPT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JEROME
Last Name:STUGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4634 BREAKWATER WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6710
Mailing Address - Country:US
Mailing Address - Phone:678-557-8446
Mailing Address - Fax:
Practice Address - Street 1:351 THORNTON RD
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-4122
Practice Address - Country:US
Practice Address - Phone:770-577-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist