Individual
KELLY MARIE ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2450 ATLANTA HWY STE 701, CUMMING, GA 30040-1255
(404) 834-8404
Mailing address
2450 ATLANTA HWY STE 701, CUMMING, GA 30040-1255
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT016157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016157
GEORGIA PT LICENSE
GA
Enumeration date
08/23/2022
Last updated
08/03/2025
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