| NPI | 1316517261 |
|---|---|
| Former Name | KAITLYN ALYSSA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1347425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1106713) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-02-27 |