=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710300652
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAYCIE LOUISE HARTLEY D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2014
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1715 SE 28TH LOOP
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-1079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-861-0566
-----------------------------------------------------
Fax | 352-402-0565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1715 SE 28TH LOOP
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-1079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-861-0566
-----------------------------------------------------
Fax | 352-402-0565
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH11780
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------