Individual
KELLEY KYBURZ MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4005 CANTON RD, MARIETTA, GA 30066-2739
(770) 728-8833
(678) 668-7469
Mailing address
4005 CANTON RD, MARIETTA, GA 30066-2739
(770) 728-8833
(678) 668-7469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5199
GA
2251P0200X
Pediatric Physical Therapist
Primary
5199
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5199
PHYSICAL THERAPY LICENSE
GA
Enumeration date
12/07/2006
Last updated
03/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us