Individual provider · NPI-1

Gerard-Kyle Blasa Abad, DPT

Physical Therapist · Marietta, GA

NPI number1093485369
StatusActive
Last updated in NPPESJun 30, 2026

Details

NPI
1093485369
Entity type
Individual (NPI-1)
Name
Gerard-Kyle Blasa Abad
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 17, 2021
Certification date
Jun 30, 2026
Last updated
Jun 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT016142GAYes

Practice location

1163 Johnson Ferry Rd Ste 100
Marietta, GA 30068-2764

Phone 404-355-8066 · Fax 833-479-2087

Mailing address

1163 Johnson Ferry Rd Ste 100
Marietta, GA 30068-2764

Phone 404-355-8066 · Fax 833-479-2087

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