| Doctor Name: | KYLE THOMPSON |
| NPI Number: | 1578806188 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT010949 |
| Business Practice Address: | 2 Mashburn St Ste 102 Hawkinsville, GA - 310364956 |
| Business Phone Number: | 4787834460 |
| Business Fax Number: | 4787834466 |
| Mailing Address: | 3051 Watson Blvd 525, WARNER ROBINS |
| State: | GA |
| Postal Code: | 310938556 |
| Phone Number: | 4789534563 |
| Fax Number: | 4789534564 |
| NPI Enumeration Date: | 04/02/2013 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT010949 |
| 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 |