Kelly Mackenzie Sams, PTA

Physical Therapy Assistant · Buchanan, GA

Individual Active NPI

NPI number 1023593217

Practice location

144 Depot St
Buchanan, GA 30113-5216
Phone
(770) 646-5512

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NPI record

NPI
1023593217
Entity type
Individual (Type 1)
Enumeration date
October 3, 2018
Last updated
October 3, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA003946 GA

Mailing address

52 Cedar Creek Dr
Dallas, GA 30157-6609

Other practice locations (1)

  • 15 Field Street, Bremen, GA 30110 · (770) 537-4482

About Kelly Sams

Kelly Mackenzie Sams, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 144 Depot St, Buchanan, GA 30113-5216. The NPI number 1023593217 was assigned on October 3, 2018 and the record was last updated on October 3, 2018.

Kelly Sams lists a license in the registry: #PTA003946 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Mackenzie Sams, PTA?

The NPI number is 1023593217.

What is the phone number of Kelly Sams?

The phone number listed for the practice location is (770) 646-5512.

Where is Kelly Sams located?

144 Depot St, Buchanan, GA 30113-5216.

What is the taxonomy code for Kelly Sams?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.