Provider Demographics
NPI:1255707865
Name:WHITE, JACQUELYN LACHELEGILCHRIST (DPT)
Entity type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:LACHELEGILCHRIST
Last Name:WHITE
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:3243 HERITAGE CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3553
Mailing Address - Country:US
Mailing Address - Phone:828-713-0560
Mailing Address - Fax:865-951-7273
Practice Address - Street 1:68 BREEZY VALLEY CONNECTOR
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3054
Practice Address - Country:US
Practice Address - Phone:724-816-1800
Practice Address - Fax:865-951-7273
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2023-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT012021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist