Doctor Name: | TAE YOUNG KIM |
NPI Number: | 1538194808 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT009506 |
Business Practice Address: | 6062 Buford Hwy Suite 117 Norcross, GA - 300712424 |
Business Phone Number: | 7704460111 |
Business Fax Number: | 7704461360 |
Mailing Address: | 6062 Buford Hwy, Suite 117 NORCROSS |
State: | GA |
Postal Code: | 300712424 |
Phone Number: | 7704460111 |
Fax Number: | 7704461360 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |