Individual
KYRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 GROVE PARK DR, COLUMBUS, GA 31909
(706) 222-7188
Mailing address
6003 BRUNJES LN, COLUMBUS, GA 31909-4291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012704
GA
225100000X
Physical Therapist
PTH9243
AL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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