IndividualActive
Jedd Thorderson, PT
NPI 1972790822 · Clinical Electrophysiology Physical Therapist · Valdosta, GA
Provider details
- NPI number
- 1972790822
- Entity type
- Individual
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT007933 (GA)
Mailing address
Po Box 370
Fortson, GA 31808-0370
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.