Individual
KRYSTAL SMITH NESTLEHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1755 HIGHWAY 34 E STE 1300, NEWNAN, GA 30265-3186
(770) 254-7850
(770) 254-1394
Mailing address
1755 HIGHWAY 34 E STE 1300, NEWNAN, GA 30265-3186
(770) 254-7850
(770) 254-1394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009035
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT009036
GA
Other
Enumeration date
03/12/2008
Last updated
11/21/2017
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