MEDICARE: CHRISTY S. AYLIES PT

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	PT002646	GA

General Provider Information

NPI Number	:	1164204095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY S. AYLIES PT

Provider Business Mailing Address
First Line	:	338 TALL OAKS DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1319
Country	:	US
Telephone Number	:	404-428-8028
Fax Number	:

Provider Business Practice Location Address
First Line	:	5580 ROSWELL RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30342-1861
Country	:	US
Telephone Number	:	770-641-3982
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “ CHRISTY S. AYLIES PT” Practice Location

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