Healthcare Provider Details

I. General information

NPI: 1407592447
Provider Name (Legal Business Name): KAITLYN JONES CAWLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 HIGHWAY 41 N STE E
BARNESVILLE GA
30204-3650
US

IV. Provider business mailing address

58 MUSICK PARK DR
SENOIA GA
30276-3438
US

V. Phone/Fax

Practice location:
  • Phone: 770-872-2060
  • Fax:
Mailing address:
  • Phone: 470-347-0269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: