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

Individual provider Physical Therapy Assistant · NPI 1912241357

Kevin F Wildes, LPTA, CSCS is a Physical Therapy Assistant in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
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Practice location Address checks out

133 Rosebury Dr
Canton, GA 30115-7558
Phone: (770) 704-6307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1633 (GA)

Record details

NPI number1912241357
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA , CSCS
Sole proprietorYes
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012

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