Individual provider · Type 1 NPI
Jon Richard Anderson, PTA
Other Specialist/Technologist · Fort Benning, GA
NPI number
1962371963
Active
Practice location
6998 Old Cusseta Rd
Fort Benning, GA 31905-5431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
6 other providers at this address
- Ach Martin-BenningMilitary/U.S. Coast Guard Pharmacy Fort Benning, GA NPI 1184382715
- Martin Army Community HospitalMilitary/U.S. Coast Guard Outpatient Clinic/Center Fort Benning, GA NPI 1326706946
- Cindy Barefield, RDHDental Hygienist Fort Benning, GA NPI 1386091072
- Dominic NarcisseOther Specialist/Technologist Fort Benning, GA NPI 1740159748
- Gregory Sileo, DMDDentist Fort Moore, GA NPI 1992541122
- Tiffanie Lashaun Garrison-Jeter, DMDDentist Fort Benning, GA NPI 1578811667
Other other specialist/technologist providers in Fort Benning
About NPI 1962371963
Jon Richard Anderson, PTA's National Provider Identifier is 1962371963, issued on Oct 30, 2025. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Fort Benning, GA. The record was last updated on Oct 30, 2025.