Individual provider · Type 1 NPI

Kim Michele Wyrwa, PTA

Physical Therapy Assistant · Dacula, GA

NPI number 1023213857 Active

Practice location

3615 Braselton Hwy, Ste. 101
Dacula, GA 30019-5906

Fax (770) 904-0774

Mailing address

2035 Wisteria Ct
Lawrenceville, GA 30044-2891

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X001703 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023213857

Kim Michele Wyrwa, PTA's National Provider Identifier is 1023213857, issued on Jun 20, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dacula, GA. The record was last updated on Jul 8, 2007.