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NPI Code Detail

MEDICARE: KAYLA GRIFFIS P.T.A

MEDICARE: KAYLA GRIFFIS P.T.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant5034NC
2225200000XPhysical Therapy Assistant2780SC

General Provider Information

NPI Number : 1245592609
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA GRIFFIS P.T.A
Provider Business Mailing Address
First Line : 1698 HIGHWAY 160 W STE 240
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1698 HIGHWAY 160 W STE 240
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8035
Country : US
Telephone Number : 704-654-8599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2012
Last Update Date : 07/08/2023

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Directions to “ KAYLA GRIFFIS P.T.A” Practice Location

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