Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Hennen

Individual provider Physical Therapist · NPI 1730058991

Jacob Hennen is a Physical Therapist in Buford, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

4700 Nelson Brogdon Blvd Ste 240
Buford, GA 30518-5401
Phone: (770) 271-3188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT018334 (GA)

Record details

NPI number1730058991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2025
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address4170 Davis Rd, Buford, GA 30518-4993

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