| NPI | 1235636655 |
|---|---|
| Former Name | KAILYN L BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 026404) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-03-27 |