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

MR. KEVIN M AVILLA, PT, ATC

Active

MR. KEVIN M AVILLA, PT, ATC is a Physical Therapy Assistant healthcare provider located in SUWANEE, Georgia. NPI 1538280698 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SUWANEE, GA

Registration Details

NPI Number
1538280698
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.327962903804 yrs)
Last Updated
Nov 22, 2013
Licenses
1356 (MA)
20091 (MA)
PT010906 (GA)

Practice Information

Address
1180 SATELLITE BLVD NW
SUITE 100
SUWANEE, GA, 300244636
Browse GA providers · Browse ZIP 30024
Phone
4043672080
Fax
7704953493
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SUWANEE, GA

Name Credential NPI
MELISSA JILL JOHNSON PT, ATC, CSCS 1134167216
MARIA E. DOOLEN PT 1023056025
DR. JEFFREY LEWANDOWSKI DPT, MTC, ATC, SCS 1568400257
EVAN BLACKBURN P.T. 1154437754
MRS. LEIGH ANNE NASH PT 1144330911
SEJONG KIM PT 1619079845
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.