Individual
KAYLA LEIGH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1615 STATE HIGHWAY 17, STE 9, YOUNG HARRIS, GA 30582-1882
(423) 238-7217
(423) 954-7408
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003030
GA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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