DR. Katie Bannister, DPT

NPI #1053475723 in Dacula, Georgia

Provider Information

NPI Number: 1053475723
Entity Type: Individual
Name: DR. Katie Bannister, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 20, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 3615 BRASELTON HWY
Address 2: SUITE 104
City: Dacula
State: Georgia
ZIP Code: 30019-5906
Phone: (770) 904-6009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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