| Organization Name: | SPINE & SPORT PHYSICAL THERAPY LP |
| NPI Number: | 1952407066 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANNA P. KING (VP/AUTHORIZED OFFICIAL) |
| Mailing Address: | 2485 Towne Lake Pkwy Suite F Woodstock |
| State: | GA US |
| Postal Code: | 301898234 |
| Phone Number: | 7705177707 |
| Fax Number: | 7705177708 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| 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 |