Individual
KARI E. KIZZIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
212 RETREAT VLG, ST SIMONS IS, GA 31522-2403
(912) 638-1444
(912) 638-0077
Mailing address
PO BOX 949, ROME, GA 30162-0949
(912) 638-1444
(912) 638-0077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT012087
PT LICENSE
GA
Enumeration date
01/18/2017
Last updated
10/28/2020
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