IndividualActive
Kayla Sullivan
NPI 1174263776 · Clinical Exercise Physiologist · Roswell, GA
Provider details
- NPI number
- 1174263776
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1068650 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1455 Old Alabama Rd Ste 160
Roswell, GA 30076-2167
Phone: (678) 636-3073
Approximate (ZIP-level) locationGet directions
Mailing address
1455 Old Alabama Rd Ste 160
Roswell, GA 30076-2167
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.