Provider Demographics
NPI:1114683166
Name:FINLAY, KRISTEN MORELAND
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MORELAND
Last Name:FINLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:NICOLE
Other - Last Name:MORELAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:598 SWEETFERN LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7613
Mailing Address - Country:US
Mailing Address - Phone:404-376-7472
Mailing Address - Fax:
Practice Address - Street 1:4450 OLD HAMILTON MILL RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8813
Practice Address - Country:US
Practice Address - Phone:770-299-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist