Provider Demographics
NPI:1265400600
Name:WALDRON, KARI ROBITAILLE (PT, MPT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ROBITAILLE
Last Name:WALDRON
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:DANIELLE
Other - Last Name:ROBITAILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:285 BOULEVARD NE STE 310
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4209
Practice Address - Country:US
Practice Address - Phone:404-581-9401
Practice Address - Fax:404-581-9403
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204009225100000X
GAPT014237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist