| NPI | 1538984703 | 
|---|---|
| Former Name | KAYLA DEBORAH FINGERSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2024-0331)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13184)  | 
| Enumeration Date | 2024-11-21 | 
| Last Update Date | 2024-12-04 |