IndividualActive
Albert Wisenauer, PTA
NPI 1104274638 · Physical Therapy Assistant · Newnan, GA
Provider details
- NPI number
- 1104274638
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1111 Lower Fayetteville Rd
Ste 2000
Newnan, GA 30265-6501
Phone: (770) 251-7284
Fax: (770) 251-7295
Approximate (ZIP-level) locationGet directions
Mailing address
8823 Production Ln
Ooltewah, TN 37363-6511
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2016-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.