Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Form Pelvic Health LLC

Organization Physical Therapist · NPI 1962275479

Form Pelvic Health LLC is a Physical Therapist in Roswell, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1295 Hembree Rd Ste A203
Roswell, GA 30076-4953
Phone: (678) 731-7772
Fax: (678) 731-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1962275479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blair Holliday — Owner · (678) 936-0821
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 3, 2023
Mailing address1295 Hembree Rd Ste A203, Roswell, GA 30076-4953

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