| Dr Caleb Thomas Kutsche, PT, DPT, CSCS | |
| 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106 | |
| (770) 917-0924 | |
| Not Available | 
| Full Name | Dr Caleb Thomas Kutsche | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist - Orthopedic | 
| Location | 4900 Ivey Rd Nw Ste 1001, Acworth, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851919781 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary | 
| Provider Name | Georgia Luna Care Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Caleb Thomas Kutsche, PT, DPT, CSCS 1750 Shiloh Rd Nw Apt 117, Kennesaw, GA 30144-6484 Ph: (770) 653-5191 | Dr Caleb Thomas Kutsche, PT, DPT, CSCS 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106 Ph: (770) 917-0924 | 
| Justin Desandre,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 | |
| Isabel Fabacher,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513 | |
| Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
| Jonathan Shaw,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
| Jenna Dreyer,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
| Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
| Mrs. Cynthia Lyn Goldberg, P.T., A.T., C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Benbrooke Ln Nw, Acworth, GA 30101 Phone: 678-358-4328 Fax: 267-321-2546 |