| NPI | 1790315992 |
|---|---|
| Former Name | KAYLEA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9968) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2025-05-19 |