Most Relevant Information
Provider Data
| NPI Number: | 1003484791 |
| Provider Name: | KATHRYN MOSTELLER PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT015300 |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 06/17/2021 |
Provider Practice Location
705 TOWN BLVD NE STE S550
BROOKHAVEN
GA
303197216
Practice Location Phone/Fax
| Phone: | 4048691912 |
| Fax: | 4048696515 |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | 4232387217 |
| Fax: | 4232383473 |