IndividualActive
Jon Anderson, PTA
NPI 1962371963 · Other Specialist/Technologist · Fort Benning, GA
Provider details
- NPI number
- 1962371963
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Practice location
6998 Old Cusseta Rd
Fort Benning, GA 31905-5431
Phone: (706) 626-1598
Mailing address
6998 Old Cusseta Rd
Fort Benning, GA 31905-5431
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.