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KELLI MICHELLE DYE MCLAREN PT DPT SCS CMTPT NPI 1104478643


NPI Information

NPI: 1104478643
Provider Name: KELLI MICHELLE DYE MCLAREN, PT DPT SCS CMTPT
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
470 NORTHSIDE CHEROKEE BLVD
CANTON, GA
ZIP 30115
Phone: (678) 773-9117
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Kelli Michelle Dye Mclaren, PT DPT SCS CMTPT is a sports medicine physical medicine rehabilitation in Canton, GA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Kelli Michelle Dye Mclaren, PT DPT SCS CMTPT NPI is 1104478643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

470 NORTHSIDE CHEROKEE BLVD
CANTON, GA
ZIP 30115-015
Phone: (678) 773-9117

The enumeration date for this NPI number is 7/15/2019 and was last updated on 7/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicinePT010287GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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