Healthcare Provider Details

I. General information

NPI: 1518651025
Provider Name (Legal Business Name): KAYLA MARIE SPRINGER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA MARIE CLARKE ND

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7717 CROFTWOOD DR
AUSTIN TX
78749-3254
US

IV. Provider business mailing address

7717 CROFTWOOD DR
AUSTIN TX
78749-3254
US

V. Phone/Fax

Practice location:
  • Phone: 512-820-0649
  • Fax:
Mailing address:
  • Phone: 512-820-0649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNATU.NT.61418501
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: