Tisha Caroline Kirby, MSPT
Physical Therapist, Sports in Valdosta, GA. Individual provider (NPI-1).
NPI number1982807871
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1982807871
- Entity type
- Individual (NPI-1)
- Name
- Tisha Caroline Kirby
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | PT007483 | GA | Yes |
| 225100000X | Physical Therapist | PT007483 | GA | |
| 2251X0800X | Physical Therapist, Orthopedic | PT007483 | GA |
Practice location
2109 N Patterson StSte A
Valdosta, GA 31602-2946
Phone 229-247-5225 · Fax 229-241-8471
Mailing address
2109 N Patterson StSte A
Valdosta, GA 31602-2946
Phone 229-247-5225 · Fax 229-241-8471
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