NPI 1003405911

Kyre Lochan

Practitioner Physical Therapy Assistant Fayetteville, GA

Practice location

Address: 1240 Georgia 54 Suite 404, Fayetteville, GA 30214
Phone: (470) 615-0485
Mailing address: 2057 Swan CT, Riverdale, GA 30296-2853

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA004586 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1003405911
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2021
Record last updated: 15 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.