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

Kim Michele Wyrwa, PTA

Individual provider Physical Therapy Assistant · NPI 1023213857

Kim Michele Wyrwa, PTA is a Physical Therapy Assistant in Dacula, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3615 Braselton Hwy Ste 101
Dacula, GA 30019-5906
Phone: (770) 904-0772
Fax: (770) 904-0774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 001703 (GA)

Record details

NPI number1023213857
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 20, 2007
Last updated in NPPESJuly 8, 2007

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