| Doctor Name: | KAYLA BURKETT |
| NPI Number: | 1356799308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PTA |
| License Number: | PTA26459 |
| Business Practice Address: | 133 N 13th St Lantana, FL - 334622741 |
| Business Phone Number: | 5617040312 |
| Business Fax Number: | |
| Mailing Address: | 133 N 13th St, LANTANA |
| State: | FL |
| Postal Code: | 334622741 |
| Phone Number: | 5617040312 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PTA26459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |