Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIAMOND MUNGROO
ActiveDIAMOND MUNGROO is a Physical Therapy Assistant healthcare provider located in EAST ELLIJAY, Georgia. NPI 1871118505 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EAST ELLIJAY, GA
Registration Details
- NPI Number
- 1871118505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2020 (6.1596611965806 yrs)
- Last Updated
- Jan 3, 2026
- Licenses
-
AT004177 (GA)PT017813 (GA)
Practice Information
- Address
-
97 HEFNER STEAST ELLIJAY, GA, 305408268Browse GA providers · Browse ZIP 30540
- Phone
- 7066351440
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in EAST ELLIJAY, GA
| Name | Credential | NPI |
|---|---|---|
| JUSTIN SHURLEY | PT | 1154325678 |
| SHELBY LEE NIX | OT | 1801465810 |
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.