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NPI Code Detail

MEDICARE: KAYLA HART PTA

MEDICARE: KAYLA HART 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
1314000000XSkilled Nursing Facility2297-19WI

General Provider Information

NPI Number : 1427439306
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA HART PTA
Provider Business Mailing Address
First Line : 7500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1717
Country : US
Telephone Number : 414-258-6170
Fax Number :
Provider Business Practice Location Address
First Line : 7500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1717
Country : US
Telephone Number : 414-258-6170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 06/16/2015

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Directions to “ KAYLA HART PTA” Practice Location

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