| NPI | 1538651211 |
|---|---|
| Former Name | KAILEY HANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 9037) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2026-05-04 |