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

Mary Lesie Kyzer, PTA

Individual provider Physical Therapy Assistant · NPI 1619187002

Mary Lesie Kyzer, PTA is a Physical Therapy Assistant in Vidalia, 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.

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Practice location Address checks out

101 Harris Industrial Blvd
Vidalia, GA 30474
Phone: (912) 277-2044
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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 PTA1383 (GA)

Record details

NPI number1619187002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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