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

Jarrod Kane Fulghum

Individual provider Physical Therapy Assistant · NPI 1811107378

Jarrod Kane Fulghum is a Physical Therapy Assistant in Athens, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

1199 Prince Ave
Athens, GA 30606-2797
Phone: (706) 475-4663
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA002069 (GA)

Record details

NPI number1811107378
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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