OrganizationActive
Activekidz and Adult Therapy Services
NPI 1962633131 · Physical Therapist · Watkinsville, GA
Provider details
- NPI number
- 1962633131
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Susan Cook, Owner(770) 207-6390
- License
- 3287 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Practice location
1071 Thomas Ave
Watkinsville, GA 30677-6073
Phone: (770) 207-6390
Fax: (678) 374-4855
Approximate (ZIP-level) locationGet directions
Mailing address
1431 Capital Ave Ste 123
Watkinsville, GA 30677-1883
Registry dates
- Enumerated
- 2009-08-05
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.