Individual
TISHA CAROLINE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2109 N PATTERSON ST, STE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Mailing address
2109 N PATTERSON ST, STE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007483
GA
2251S0007X
Sports Physical Therapist
Primary
PT007483
GA
2251X0800X
Orthopedic Physical Therapist
PT007483
GA
Other
Enumeration date
06/07/2007
Last updated
09/11/2025
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