Krystal Smith Nestlehutt, MPT
Physical Therapist, Orthopedic in Newnan, GA. Individual provider (NPI-1).
NPI number1205007705
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1205007705
- Entity type
- Individual (NPI-1)
- Name
- Krystal Smith Nestlehutt
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2008
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT009036 | GA | Yes |
| 225100000X | Physical Therapist | PT009035 | GA |
Other names
- Krystal Dawn Smith (Former Name)
Practice location
1755 Highway 34 E Ste 1300Newnan, GA 30265-3186
Phone 770-254-7850 · Fax 770-254-1394
Mailing address
1755 Highway 34 E Ste 1300Newnan, GA 30265-3186
Phone 770-254-7850 · Fax 770-254-1394
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