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NPI Code Detail

MEDICARE: KAILEE GOYA PTA

MEDICARE: KAILEE GOYA PTA
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 Assistant0015224CO

General Provider Information

NPI Number : 1376264846
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILEE GOYA PTA
Provider Business Mailing Address
First Line : 2916 W LONG CIR APT B
Second Line :
City : LITTLETON
State : CO
Zip : 80120-4340
Country : US
Telephone Number : 808-753-0043
Fax Number :
Provider Business Practice Location Address
First Line : 5801 S QUEBEC ST STE 100
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2010
Country : US
Telephone Number : 303-770-0870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2022
Last Update Date : 09/05/2022

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Directions to “ KAILEE GOYA PTA” Practice Location

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