MEDICARE: DR. TYMEL DODD DPT

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	PT016373	GA

General Provider Information

NPI Number	:	1730021817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYMEL DODD DPT

Provider Business Mailing Address
First Line	:	5657 STRATHMOOR MANOR CIR
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-2625
Country	:	US
Telephone Number	:	734-330-5443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 ATHENS HWY STE 112
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1762
Country	:	US
Telephone Number	:	404-470-9883
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ DR. TYMEL DODD DPT” Practice Location

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