Provider Demographics
NPI:1326303595
Name:GIGNILLIAT, KALI W (PT)
Entity Type:Individual
Prefix:MRS
First Name:KALI
Middle Name:W
Last Name:GIGNILLIAT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:KALI
Other - Middle Name:M
Other - Last Name:WEILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:340 EISENHOWER DR
Mailing Address - Street 2:BUILDING 1400 SUITE A
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-1600
Mailing Address - Country:US
Mailing Address - Phone:912-401-0443
Mailing Address - Fax:912-401-0445
Practice Address - Street 1:340 EISENHOWER DR
Practice Address - Street 2:BUILDING 1400 SUITE A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-1600
Practice Address - Country:US
Practice Address - Phone:912-401-0443
Practice Address - Fax:912-401-0445
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist