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

Stacie Leigh Jacobs

Individual provider Physical Therapy Assistant · NPI 1508518507

Stacie Leigh Jacobs is a Physical Therapy Assistant in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

3520 N Crossing Cir
Valdosta, GA 31602-1067
Phone: (229) 242-8394
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 PTA002059 (GA)

Record details

NPI number1508518507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address3527 N Valdosta Rd, Valdosta, GA 31602-6418

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