NPI 1174263776

Kayla Sullivan

Practitioner Clinical Exercise Physiologist Roswell, GA

Practice location

Address: 1455 Old Alabama Rd STE 160, Roswell, GA 30076-2167
Phone: (678) 636-3073

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X Licence 1068650 (GA)

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Registry record

NPI: 1174263776
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 2022

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.