Provider Demographics
NPI:1801517065
Name:JONES, JOSHUA ALEXANDER PALMORE (DPT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALEXANDER PALMORE
Last Name:JONES
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 1:390 ERNEST W BARRETT PKWY NW STE 4
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4989
Mailing Address - Country:US
Mailing Address - Phone:678-520-5311
Mailing Address - Fax:
Practice Address - Street 1:390 ERNEST W BARRETT PKWY NW STE 4
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-4989
Practice Address - Country:US
Practice Address - Phone:770-426-9945
Practice Address - Fax:770-426-0641
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT016180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist