| Doctor Name: | MRS. KIM E CHASTAIN |
| NPI Number: | 1639231103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., O.C.S. |
| License Number: | PT003909 |
| Business Practice Address: | 3450 Acworth Due West Rd Nw Suite 310 Kennesaw, GA - 301441001 |
| Business Phone Number: | 7709747494 |
| Business Fax Number: | 7709749141 |
| Mailing Address: | 3450 Acworth Due West Rd Nw, Suite 310 KENNESAW |
| State: | GA |
| Postal Code: | 301441001 |
| Phone Number: | 7709747494 |
| Fax Number: | 7709749141 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT003909 |
| 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 |