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NPI Code Detail

MEDICARE: KAYLEE CAUDILL

MEDICARE: KAYLEE CAUDILL
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
1225100000XPhysical Therapist
2225100000XPhysical TherapistLPT-31427AZ

General Provider Information

NPI Number : 1821697913
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE CAUDILL
Provider Business Mailing Address
First Line : 2176 E ELLIS DR
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7458
Country : US
Telephone Number : 509-881-4972
Fax Number :
Provider Business Practice Location Address
First Line : 16640 N 38TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2103
Country : US
Telephone Number : 602-482-6671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 05/07/2025

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Directions to “ KAYLEE CAUDILL ” Practice Location

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