Individual
CHAD MATHEW KINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1197 JOHNSON FERRY RD, MARIETTA, GA 30068-2718
(770) 321-0155
Mailing address
80 MILLBROOK TRCE, MARIETTA, GA 30068-3749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016814
GA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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