Individual
KYLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 MASHBURN ST STE 102, HAWKINSVILLE, GA 31036-4956
(478) 783-4460
(478) 783-4466
Mailing address
3051 WATSON BLVD 525, WARNER ROBINS, GA 31093-8556
(478) 953-4563
(478) 953-4564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010949
GA
Other
Enumeration date
04/02/2013
Last updated
07/22/2015
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