Individual provider · Type 1 NPI

Michael P. Kavanagh, CPO

Orthotist · Fort Moore, GA

NPI number 1619032497 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Mailing address

125 Perrys Mill Rd
Pine Mountain, GA 31822-5112

Other practice locations

  • 125 Perry Mill Rd, Pine Mountain, GA 31822-5112 · (770) 328-4158

Specialties and licenses

TaxonomyCodeLicense
Prosthetist 224P00000X34 (GA)
Orthotist Primary 222Z00000X34 (GA)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1619032497

Michael P. Kavanagh, CPO's National Provider Identifier is 1619032497, issued on Dec 22, 2006. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Fort Moore, GA. The record was last updated on Feb 4, 2025.