Healthcare Provider Details

I. General information

NPI: 1437089992
Provider Name (Legal Business Name): KAILA RALL CWC II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 OLD COUNTY RD
TEMPLETON CA
93465-5062
US

IV. Provider business mailing address

925 OLD COUNTY RD
TEMPLETON CA
93465-5062
US

V. Phone/Fax

Practice location:
  • Phone: 831-535-9929
  • Fax:
Mailing address:
  • Phone: 831-535-9929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: