Healthcare Provider Details

I. General information

NPI: 1801751995
Provider Name (Legal Business Name): KAYLEE STURANS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 PLANK RD STE 102
FREDERICKSBURG VA
22407-6626
US

IV. Provider business mailing address

4900 PLANK RD STE 102
FREDERICKSBURG VA
22407-6626
US

V. Phone/Fax

Practice location:
  • Phone: 540-741-9742
  • Fax:
Mailing address:
  • Phone: 540-741-9742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305216942
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: