Healthcare Provider Details

I. General information

NPI: 1457260283
Provider Name (Legal Business Name): SYDNI WHITTEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 HOLCOMB BRIDGE RD STE 720
ALPHARETTA GA
30022-5343
US

IV. Provider business mailing address

181 RIVULET DR
CANTON GA
30115-8189
US

V. Phone/Fax

Practice location:
  • Phone: 770-765-3690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018602
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: