MEDICARE: KAYLA M GIBBS 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
1	225200000X	Physical Therapy Assistant	14-02297	KS
2	225200000X	Physical Therapy Assistant	A-046-196	KS

General Provider Information

NPI Number	:	1538400056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA M GIBBS PTA

Provider Business Mailing Address
First Line	:	3965 W 83RD ST STE 233
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-5308
Country	:	US
Telephone Number	:	913-789-9900
Fax Number	:	913-789-9170

Provider Business Practice Location Address
First Line	:	3965 W 83RD ST STE 233
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-5308
Country	:	US
Telephone Number	:	913-789-9900
Fax Number	:	913-789-9170

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	02/26/2026

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Directions to “ KAYLA M GIBBS PTA” Practice Location

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