IndividualActive
Kelly Davis, DPT, ATC, COMT, CSCS
NPI 1902235146 · Sports Physical Therapist · Atlanta, GA
Provider details
- NPI number
- 1902235146
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, ATC, COMT, CSCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2000006843 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
540 Chateaugay Ln Ne
Atlanta, GA 30342-3404
Phone: (610) 256-2860
Approximate (ZIP-level) locationGet directions
Mailing address
540 Chateaugay Ln Ne
Atlanta, GA 30342-3404
Registry dates
- Enumerated
- 2013-11-07
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.