Healthcare Provider Details
I. General information
NPI: 1538070396
Provider Name (Legal Business Name): AURA PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1165 SPRINGWOOD CONNECTOR UNIT 649
SANDY SPRINGS GA
30328-2909
US
IV. Provider business mailing address
1165 SPRINGWOOD CONNECTOR UNIT 649
SANDY SPRINGS GA
30328-2909
US
V. Phone/Fax
- Phone: 404-702-7801
- Fax:
- Phone: 404-702-7801
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MADISON
HOWARD
Title or Position: PELVIC PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 404-702-7801