Individual
KYLE STONE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
(770) 615-0177
Mailing address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
(770) 615-0177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841619876
—
GA
Enumeration date
02/22/2022
Last updated
03/23/2022
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