Individual
KELLY WHETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12201 HIGHWAY 92 STE D, WOODSTOCK, GA 30188-7141
(470) 632-8335
Mailing address
1100 CIRCLE 75 PKWY SE STE 1400, ATLANTA, GA 30339-3067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016988
GA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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