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NPI Code Detail

MEDICARE: KAYLA STEVENS

MEDICARE: KAYLA STEVENS
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
1225200000XPhysical Therapy Assistant29176FL

General Provider Information

NPI Number : 1558195651
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA STEVENS
Provider Business Mailing Address
First Line : 802 E WHITING ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4136
Country : US
Telephone Number : 813-553-3594
Fax Number :
Provider Business Practice Location Address
First Line : 802 E WHITING ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4136
Country : US
Telephone Number : 813-553-3594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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Directions to “ KAYLA STEVENS ” Practice Location

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