Doctor Name: | EDWIN K MARSHALL |
NPI Number: | 1871628081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C, DPT |
License Number: | 7877 |
Business Practice Address: | 2041 Mesa Valley Way Suite 100 Austell, GA - 301066828 |
Business Phone Number: | 7709441100 |
Business Fax Number: | 7709446469 |
Mailing Address: | 2041 Mesa Valley Way, Suite 100 AUSTELL |
State: | GA |
Postal Code: | 301066828 |
Phone Number: | 7709441100 |
Fax Number: | 7709446469 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7877 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |