Organization
KINGDOM PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH JOHNSON DPT (OWNER)
(478) 955-6956
Entity
Organization
Contact information
Practice address
1410 GASSETT ROAD N, FORT VALLEY, GA 31030
(478) 955-6956
Mailing address
1410 GASSETT ROAD N, FORT VALLEY, GA 31030
(478) 955-6956
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/21/2025
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