Healthcare Provider Details

I. General information

NPI: 1437497427
Provider Name (Legal Business Name): KAYLEE I FIEDLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEE I. KOWALCZYK DPT

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 PINE RIDGE RD
NAPLES FL
34119-3956
US

IV. Provider business mailing address

6003 PINE RIDGE RD
NAPLES FL
34119-3956
US

V. Phone/Fax

Practice location:
  • Phone: 239-304-4918
  • Fax: 239-348-4436
Mailing address:
  • Phone: 239-304-4918
  • Fax: 239-348-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number37392
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: