Provider Demographics
NPI:1407592447
Name:CAWLEY, KAITLYN JONES (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:JONES
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MUSICK PARK DR
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-3438
Mailing Address - Country:US
Mailing Address - Phone:470-347-0269
Mailing Address - Fax:
Practice Address - Street 1:231 HIGHWAY 41 N STE E
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-3650
Practice Address - Country:US
Practice Address - Phone:770-872-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT014766208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation