MEDICARE: LEANNE HYMES 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	PT009952	GA

General Provider Information

NPI Number	:	1194032482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNE HYMES PT

Provider Business Mailing Address
First Line	:	320 FARLEIGH TRCE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-3020
Country	:	US
Telephone Number	:	617-270-6879
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 SAVOY DR
Second Line	:	SUITE 100
City	:	ATLANTA
State	:	GA
Zip	:	30341-1072
Country	:	US
Telephone Number	:	678-743-3828
Fax Number	:

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

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	11/07/2014

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Directions to “ LEANNE HYMES PT” Practice Location

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