Healthcare Provider Details
I. General information
NPI: 1538494828
Provider Name (Legal Business Name): SET SPORTS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2009
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1770 THE EXCHANGE SE STE 200
ATLANTA GA
30339-2046
US
IV. Provider business mailing address
1340 PASADENA AVE NE
ATLANTA GA
30306-3120
US
V. Phone/Fax
- Phone: 202-210-1131
- Fax:
- Phone: 202-210-1131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | PT009748 |
| License Number State | GA |
VIII. Authorized Official
Name: DR.
STACY
LAINE
HUND
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 202-210-1131