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Search › Georgia › 225100000X

Kendall Wilde, DPT

NPI 1417405499 · on the registry since 2016

Practice

Address
1615 Ridenour Blvd Nw Ste 204
Kennesaw, GA 30152
Phone
(770) 580-8070
Fax
(770) 285-8751
Organisation at this address
Optimist Llc
Eecarman Od Pc
Pt Solutions Of Acworth Llc
Nexslim Of Cobb County, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
GA, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia