Active NPIIndividual provider

Mrs. Kelley L Lutz, PHYSICAL THERAPIST

Physical Therapist in Marietta, Georgia

NPI Number1386673846
Practice location
400 Tower RD NE Ste 140, Marietta, GA 30060-9412
Fax
—
Last updated
September 20, 2024

Kelley Lynn Lutz is a Physical Therapist based in Marietta, GA. Kelley Lynn Lutz practices in Marietta, GA and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Kelley Lynn Lutz is 1386673846 and holds a License No. 006578 (CT). The current practice location address for Kelley Lynn Lutz is 400 Tower RD NE Ste 140, Marietta, GA 30060-9412 and can be reached out via phone at 770-419-9437.

Provider Profile Details

NPI Number
1386673846
Provider Name
Kelley Lynn Lutz
Credential
PHYSICAL THERAPIST
Provider Entity Type
Individual
Gender
Female
Address
400 Tower RD NE Ste 140, Marietta, GA 30060-9412
Phone Number
770-419-9437
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2006
Last Update Date
September 20, 2024
Certification Date
September 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Tower RD NE Ste 140
Marietta, GA 30060-9412
State
Georgia
Zip
30060-9412
Phone Number
770-419-9437
Marietta, GA 30060Get directions →

Provider Business Mailing Address Details

Address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
City
Hoover
State
AL
Zip
35242-5424
Phone Number
866-518-0283

License Information

License Number (1)
006578
License State (1)
CT
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT017255
License State (2)
GA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kelley L Lutz, PHYSICAL THERAPIST?

The NPI number of Mrs. Kelley L Lutz, PHYSICAL THERAPIST is 1386673846. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelley L Lutz, PHYSICAL THERAPIST?

Mrs. Kelley L Lutz, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 006578.

Where does Mrs. Kelley L Lutz, PHYSICAL THERAPIST practice?

The practice location is 400 Tower RD NE Ste 140, Marietta, GA 30060-9412. The office can be reached at 770-419-9437 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386673846 directly on the NPPES registry website.

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