Individual provider · Type 1 NPI
Kelly Nicole Davis, DPT, ATC, COMT, CSCS
Sports Physical Therapist · Atlanta, GA
Practice location
540 Chateaugay Ln NE
Atlanta, GA 30342-3404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 2000006843 (GA) |
| Sports Physical Therapist Primary | 2251S0007X | PT017188 (GA) |
| Physical Therapist | 225100000X | 299323 (CA) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
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About NPI 1902235146
Kelly Nicole Davis, DPT, ATC, COMT, CSCS's National Provider Identifier is 1902235146, issued on Nov 7, 2013. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Atlanta, GA. The record was last updated on Jun 5, 2026.