NPI 1801415351

Dewight Carruth

Practitioner Kinesiotherapist Valdosta, GA

Practice location

Address: 1624 Lexington Cir, Valdosta, GA 31602-5700
Phone: (706) 536-7664

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1801415351
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2020
Record last updated: 14 Apr 2020

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.