Individual
KATE A VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 353-6188
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014972
GA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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