Provider Demographics
NPI:1750747523
Name:TURNER, CARLEIGH MIKSZAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CARLEIGH
Middle Name:MIKSZAN
Last Name:TURNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CARLEIGH
Other - Middle Name:T
Other - Last Name:MIKSZAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:3319 THOMPSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-1507
Practice Address - Country:US
Practice Address - Phone:678-207-1999
Practice Address - Fax:678-207-1998
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012054225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist