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General NPI Number Information
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NPI Number | 1245163716
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Entity Type | Individual
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Provider Name | KAYLA PAIGE WATERMAN DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 913 W BAXTER DR # 101
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-8687
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Country | US
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Telephone | 801-797-1998
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Fax | 801-797-1945
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Provider Business Mailing Address
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Address Line | 6900 S 900 E STE 100
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City | MIDVALE
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State | UT
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Zip | 84047-5820
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Country | US
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Telephone | 801-890-6626
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Fax | 801-432-8788
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14289442-2401
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License Number State | UT
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