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NPI Code Detail

MEDICARE: KAYLA UBEL LINGENFELTER PT, DPT

MEDICARE: KAYLA UBEL LINGENFELTER PT, DPT
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
1225100000XPhysical Therapist2016027953MO

General Provider Information

NPI Number : 1639582687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA UBEL LINGENFELTER PT, DPT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 908 BALTIMORE AVE STE 101
Second Line :
City : KANSAS CITY
State : MO
Zip : 64105-1707
Country : US
Telephone Number : 816-283-8343
Fax Number : 816-283-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2014
Last Update Date : 12/08/2017

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Directions to “ KAYLA UBEL LINGENFELTER PT, DPT” Practice Location

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