| NPI | 1972077733 |
|---|---|
| Former Name | KAYLEE FLAAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2662) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-06-27 |