NPI | 1093182537 |
---|---|
Former Name | KAYLA B KREINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14507-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017345) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2019-01-11 |