Individual
CALYSTA PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
708 GREENE ST, AUGUSTA, GA 30901-2311
(706) 496-8288
Mailing address
13919 E 27TH CT, SPOKANE VALLEY, WA 99037-9363
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP024152A
GA
Other
Enumeration date
03/27/2015
Last updated
08/15/2023
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