NPI 1013796044

Chad Mathew Kinshaw

Practitioner Physical Therapist Marietta, GA

Practice location

Address: 1197 Johnson Ferry Rd, Marietta, GA 30068-2718
Phone: (770) 321-0155
Mailing address: 80 Millbrook Trce, Marietta, GA 30068-3749

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT016814 (GA)

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Registry record

NPI: 1013796044
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2023
Record last updated: 28 Sep 2023

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.