Doctor Name: | KAYLA JEANETTE HUNSUCKER |
NPI Number: | 1689918757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 14003 |
Business Practice Address: | 1315 S Hawthorne Rd Winston Salem, NC - 271034121 |
Business Phone Number: | 3369176000 |
Business Fax Number: | |
Mailing Address: | 1607 Lancelot Ln, WINSTON SALEM |
State: | NC |
Postal Code: | 271035107 |
Phone Number: | 8282441293 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 14003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |