Provider Demographics
NPI:1275151060
Name:FREEL, KALEIGH MORGAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:MORGAN
Last Name:FREEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 FALLS MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-3882
Mailing Address - Country:US
Mailing Address - Phone:678-477-1227
Mailing Address - Fax:
Practice Address - Street 1:3535 ASHTON WOODS DR NE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-2201
Practice Address - Country:US
Practice Address - Phone:678-477-1227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT014638261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy