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General NPI Number Information
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NPI Number | 1871389197
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Entity Type | Individual
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Provider Name | KAYLA WARD PTA
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 147 VERA RD
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City | LEXINGTON
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State | SC
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Zip | 29072-3756
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Country | US
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Telephone | 803-629-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 2598 S WESLEY CHAPEL RD
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City | GREENEVILLE
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State | TN
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Zip | 37745-0325
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Country | US
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Telephone | 423-571-1465
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Fax | 423-571-1465
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306605402
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 6491
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License Number State | TN
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