Kia Denae Mattison
Physical Therapist - Pediatrics
12010 Etris Rd Ste A150
Roswell
, Georgia 30075-8009
Kia Denae Mattison
Physical Therapist - Pediatrics
12010 Etris Rd Ste A150
Roswell
, Georgia 30075-8009
(864) 329-6091
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kia Denae Mattison
- 107 E Thistle Ln
- Greenville, SC
- Zip : 29615-5538
- Phone : (864) 329-6091
Second Address
- Kia Denae Mattison
- 12010 Etris Rd Ste A150
- Roswell, GA
- Zip : 30075-8009
- Phone : (770) 998-9599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics |
National Provider Identifier
| NPI | 1023626116 |
|---|---|
| Provider Name | Kia Denae Mattison |
| First Address | Greenville, SC 29615-5538 |
| Second Address | Roswell, GA 30075-8009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2020 |
| Last Update Date | 15/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.