Individual
KAYLA W EMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1515 RIVER PL, BRASELTON, GA 30517-5602
(770) 848-6160
Mailing address
1515 RIVER PL, BRASELTON, GA 30517-5602
(770) 848-6160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012342
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13836979
CAQH NUMBER
—
Enumeration date
06/06/2016
Last updated
06/16/2022
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