MEDICARE: KAYLEE I FIEDLER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	37392	FL

General Provider Information

NPI Number	:	1437497427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE I FIEDLER DPT

Provider Business Mailing Address
First Line	:	6003 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3956
Country	:	US
Telephone Number	:	239-304-4918
Fax Number	:	239-348-4436

Provider Business Practice Location Address
First Line	:	6003 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3956
Country	:	US
Telephone Number	:	239-304-4918
Fax Number	:	239-348-4436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2013
Last Update Date	:	05/20/2026

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