Provider Demographics
NPI:1548645609
Name:TAYLOR, KAYLA (PT)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5614 HAVENCREST DR
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-3900
Mailing Address - Country:US
Mailing Address - Phone:541-337-2343
Mailing Address - Fax:541-887-2208
Practice Address - Street 1:2450 SUMMERS LN
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-6600
Practice Address - Country:US
Practice Address - Phone:541-887-2207
Practice Address - Fax:541-887-2208
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR610222251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics