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

Individual provider Physical Therapy Assistant · NPI 1528714920

Trey Haddock is a Physical Therapy Assistant in Suwanee, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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Practice location Address checks out

5060 Mallory Ct
Suwanee, GA 30024-3300
Phone: (904) 753-3968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA003349 (GA)

Record details

NPI number1528714920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address5060 Mallory Ct, Suwanee, GA 30024-3300

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