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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DYLAN BUCKLEY ELLIOTT, PT, DPT, CSCS

Active Sole Proprietor

DYLAN BUCKLEY ELLIOTT, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in LOGANVILLE, Georgia. NPI 1215316708 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOGANVILLE, GA

Registration Details

NPI Number
1215316708
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2015 (11.169157096437 yrs)
Last Updated
May 29, 2015
License
PT011888 (GA)
Sole Proprietor
Yes

Practice Information

Address
150 ATHENS HWY STE 500
LOGANVILLE, GA, 300524968
Browse GA providers · Browse ZIP 30052
Phone
7705542307
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LOGANVILLE, GA

Name Credential NPI
MR. THOMAS CHRISTOPHER WILSON PT 1174521868
MRS. AMANDA G PILZ MPT 1518921295
SUZANNE L KOLE MPT 1437199080
TAMMY PETTY P.T. 1538100938
BLAINE WOODY PT 1922043173
MRS. MENDI MICHELLE SCHUBERT PT 1144315078
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.