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

BLAINE WOODY, PT

Active

BLAINE WOODY, PT is a Physical Therapy Assistant healthcare provider located in LOGANVILLE, Georgia. NPI 1922043173 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOGANVILLE, GA

Registration Details

NPI Number
1922043173
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2006 (20.112564551984 yrs)
Last Updated
Jul 8, 2007
License
PT003406 (GA)

Practice Information

Address
4325 ATLANTA HWY
SUITE 15
LOGANVILLE, GA, 300522341
Browse GA providers · Browse ZIP 30052
Phone
7704663100
Fax
7704663105
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
MRS. MENDI MICHELLE SCHUBERT PT 1144315078
MRS. LESLIE C. BRIDGES PT 1922194539
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.