Doctor Name: | MRS. KAYLA JANAE ANDERSON |
NPI Number: | 1720444540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT40739 |
Business Practice Address: | 250 G St Blaine, WA - 982304019 |
Business Phone Number: | 3603328167 |
Business Fax Number: | |
Mailing Address: | Po Box 120, BLAINE |
State: | WA |
Postal Code: | 982310120 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/08/2016 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT40739 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |