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KRISTOFFER TOTANES MAGALLANES

Active

KRISTOFFER TOTANES MAGALLANES is a Physical Therapy Assistant healthcare provider located in EASTANOLLEE, Georgia. NPI 1134836984 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EASTANOLLEE, GA

Registration Details

NPI Number
1134836984
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2022 (3.7980164316083 yrs)
Last Updated
Mar 21, 2023
Licenses
12120 (CT)
PT016489 (GA)

Practice Information

Address
201 WALMART WAY
EASTANOLLEE, GA, 30538
Browse GA providers · Browse ZIP 30538
Phone
7062821025
Fax
7068868156
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in EASTANOLLEE, GA

Name Credential NPI
BRYCE ESCO 1982596896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.