Provider Demographics
NPI:1518651025
Name:SPRINGER, KAYLA MARIE (ND)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:MARIE
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:7717 CROFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3254
Mailing Address - Country:US
Mailing Address - Phone:512-820-0649
Mailing Address - Fax:
Practice Address - Street 1:7717 CROFTWOOD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-3254
Practice Address - Country:US
Practice Address - Phone:512-820-0649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANATU.NT.61418501175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath