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

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Active Organization

Kinesiotherapist · MARIETTA, GA

Registration Details

NPI Number
1417684309
Provider Type
Organization
NPI Issued
Aug 2, 2022 (3.7210346101665 yrs)
Last Updated
Aug 9, 2022

Practice Information

Address
1557 TERRELL MILL RD SE APT 4700G
MARIETTA, GA, 300673087
Browse GA providers · Browse ZIP 30067
Phone
6786516050
Primary Specialty
Kinesiotherapist
225600000X
Additional Specialty
Kinesiotherapist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.