MEDICARE: KAYLA TEDDER

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
1	1041C0700X	Clinical Social Worker	8229-M	AR

General Provider Information

NPI Number	:	1407561756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA TEDDER

Provider Business Mailing Address
First Line	:	PO BOX 939
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72757-0939
Country	:	US
Telephone Number	:	479-636-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 S 8TH ST
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1031
Country	:	US
Telephone Number	:	479-636-4198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	04/10/2024

Similar Medicare Providers

1689532327 — HANNAH MARTINEZ LPC
Practice Location Address:

2910 S 8TH ST
ROGERS, AR
72758-1031

Practice Phone: 636-399-5250
Practice Fax:

1932953809 — SAMARITAN HOUSE COMMUNITY CENTER
Practice Location Address:

2910 S 8TH ST
ROGERS, AR
72758-1031

Practice Phone: 479-636-4198
Practice Fax:

1548128374 — ASHLEY REBECCA SAWATSKI
Practice Location Address:

3608 W SOUTHERN HILLS BLVD STE 4
ROGERS, AR
72758-8310

Practice Phone: 479-633-7052
Practice Fax:

1891385092 — DR. RYLAND WEUM DC
Practice Location Address:

5305 W VILLAGE PKWY STE 12
ROGERS, AR
72758-8116

Practice Phone: 479-405-4015
Practice Fax:

1427854926 — ADVANCED WOUND THERAPY - AR, LLC
Practice Location Address:

593 S HORSEBARN RD STE 200
ROGERS, AR
72758-8798

Practice Phone: 918-592-9020
Practice Fax:

1194446096 — JOSHUA KEENE LMFT
Practice Location Address:

2105 S 54TH ST STE 2
ROGERS, AR
72758-8191

Practice Phone: 479-268-4557
Practice Fax:

Directions to “ KAYLA TEDDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.