Provider Demographics
NPI:1902341068
Name:FREEMAN, KAYLA TERESA LOUISE (DPT)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:TERESA LOUISE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13106 SE 240TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-9210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26837 MAPLE VALLEY HIGHWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038
Practice Address - Country:US
Practice Address - Phone:425-413-4427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist