| Doctor Name: | STEVE EARLES |
| NPI Number: | 1871898676 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMT |
| License Number: | |
| Business Practice Address: | 1514 Piedmont Lake Road Pine Mountain, GA - 31822 |
| Business Phone Number: | 7066634770 |
| Business Fax Number: | |
| Mailing Address: | 1514 Piedmont Lake Road, PINE MOUNTAIN |
| State: | GA |
| Postal Code: | 31822 |
| Phone Number: | 7066634770 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2011 |
| NPI Last Update Date: | 01/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |