MEDICARE: KAYLA W EMMETT PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT012342	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13836979	OTHER		CAQH NUMBER

General Provider Information

NPI Number	:	1043669575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA W EMMETT PT, DPT

Provider Business Mailing Address
First Line	:	1515 RIVER PL
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-5602
Country	:	US
Telephone Number	:	770-848-6160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 RIVER PL
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-5602
Country	:	US
Telephone Number	:	770-848-6160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	06/16/2022

Similar Medicare Providers

1629071873 — GARY M DALLEY M.D.
Practice Location Address:

1515 RIVER PL , SUITE 200
BRASELTON, GA
30517-5602

Practice Phone: 770-848-6140
Practice Fax: 770-848-6141

1922079151 — DR. BRADLEY DAVID CASTELLANO D.P.M.
Practice Location Address:

1515 RIVER PL , SUITE 140
BRASELTON, GA
30517-5602

Practice Phone: 770-648-5040
Practice Fax:

1255437075 — MRS. HARITHA ARIKATLA MD
Practice Location Address:

1515 RIVER PL , SUIT 200
BRASELTON, GA
30517-5602

Practice Phone: 770-848-6140
Practice Fax:

1861739724 — DONNA ANNE OFFENHAUER PHARMD
Practice Location Address:

1515 RIVER PL , SUITE 180
BRASELTON, GA
30517-5602

Practice Phone: 770-848-6337
Practice Fax: 770-848-6338

1134568124 — CHATEAU FOOT AND ANKLE CENTER, LLC
Practice Location Address:

1515 RIVER PL , SUITE 140
BRASELTON, GA
30517-5602

Practice Phone: 770-648-5040
Practice Fax:

1982119400 — SANDRA DUFTY DPT
Practice Location Address:

1515 RIVER PL
BRASELTON, GA
30517-5602

Practice Phone: 770-848-6160
Practice Fax:

Directions to “ KAYLA W EMMETT PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.