Provider Demographics
NPI:1467683268
Name:NYE, KAREN VILLANI (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:VILLANI
Last Name:NYE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1029 N PEACHTREE PKWY
Mailing Address - Street 2:BOX 156
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-4210
Mailing Address - Country:US
Mailing Address - Phone:678-632-6765
Mailing Address - Fax:678-550-7931
Practice Address - Street 1:105 GLENDALOUGH CT
Practice Address - Street 2:SUITE H
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2948
Practice Address - Country:US
Practice Address - Phone:678-632-6765
Practice Address - Fax:678-550-7931
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2013-06-28
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Provider Licenses
StateLicense IDTaxonomies
GA0048932251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics