Individual
KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 S JOHNSON FERRY RD, ATLANTA, GA 30319-1612
(404) 252-2002
Mailing address
922 WOODLAND TRL SE, SMYRNA, GA 30080-1536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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