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

KISHA LASHELLE GWYN

Active

KISHA LASHELLE GWYN is a Physical Therapy Assistant healthcare provider located in KNIGHTDALE, North Carolina. NPI 1811852080 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KNIGHTDALE, NC

Registration Details

NPI Number
1811852080
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2025 (0.66546217645979 yrs)
Last Updated
Jan 21, 2026
Licenses
CP052090T (AZ)
P24554 (NC)

Practice Information

Address
6905 KNIGHTDALE BLVD STE 102
KNIGHTDALE, NC, 275456506
Browse NC providers · Browse ZIP 27545
Phone
5705500168
Fax
4106484878
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KNIGHTDALE, NC

Name Credential NPI
SEAN COLLINS PT 1689672818
STEPHEN RAY HARRIS PT 1043269889
SHANNON MARIE MOORE MPT 1750419909
ELIZABETH ENOH PT 1417139353
MARTHA F. HARRIS PT, DPT 1538344825
MR. JONATHAN M SYLVAIN MPT 1528239423
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.