Provider Demographics
NPI:1912295627
Name:SEXTON, KARLA JANEANE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:JANEANE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 SKELTON RD
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-1981
Mailing Address - Country:US
Mailing Address - Phone:404-405-1805
Mailing Address - Fax:
Practice Address - Street 1:1721 SKELTON RD
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-1981
Practice Address - Country:US
Practice Address - Phone:404-405-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000468225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant