Krystal Smith Nestlehutt, MPT
Individual provider Active NPI Orthopedic Physical Therapist · Newnan, GA
NPI 1205007705 · NPPES record last updated Nov 21, 2017
Key facts
- NPI
- 1205007705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT009036 (GA)
- Practice address
- 1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186 - Phone
- (770) 254-7850
- Fax
- (770) 254-1394
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009036 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Georgia Rehab, Inc | Physical Therapist | Current |
Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1431 Ohio Ave N
Live Oak, FL 32064
Phone (850) 739-7671
1107 Greer St
Ste A
Cordele, GA 31015
Phone (229) 273-9445
1107 Greer St
Ste Ab
Cordele, GA 31015
Phone (229) 273-9445
100 W Union St
Vienna, GA 31092
Phone (229) 273-9445
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009035 | GA | |
| Orthopedic Physical Therapist | 2251X0800X | PT009036 | GA | Yes |
Addresses
Primary practice location
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Mailing address
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Phone (770) 254-7850
Other names
- Krystal Dawn Smith
Other providers in Newnan, GA
- Barry Sheldon Nelms
- Brenda L Nelson-Porter
- Derrick Nelson
- Reneisha Nelson
- Nephrology Inc
- Candice Norkee Nettles
- Nathan J Neufeld
- Newnan Anesthesia Associates, LLC
- Newnan Center for Foot and Ankle Surgery, LLC
- Newnan Endoscopy Center LLC
All providers in Newnan, GA · Orthopedic Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.