| Doctor Name: | YEORGIA ACKLES |
| NPI Number: | 1043670425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 2305208636 |
| Business Practice Address: | 20127 Hardwood Ter Ashburn, VA - 201472754 |
| Business Phone Number: | 8607487475 |
| Business Fax Number: | |
| Mailing Address: | 20127 Hardwood Ter, ASHBURN |
| State: | VA |
| Postal Code: | 201472754 |
| Phone Number: | 8607487475 |
| Fax Number: | |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 2305208636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |