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

Lydia Mikula Clackum, DPT

Individual provider Physical Therapist · NPI 1295228781

Lydia Mikula Clackum, DPT is a Physical Therapist in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3455 Highway 81 S
Loganville, GA 30052-3918
Phone: (678) 635-8280
Fax: (678) 635-8285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013374 (GA)

Record details

NPI number1295228781
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESJune 11, 2018

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