MEDICARE: KAYLA MICHELLE TURNER 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
1	225100000X	Physical Therapist	070017198	IL
2	225100000X	Physical Therapist	2009030558	MO

General Provider Information

NPI Number	:	1841429891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA MICHELLE TURNER DPT

Provider Business Mailing Address
First Line	:	1526 SWALLOW DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-1620
Country	:	US
Telephone Number	:	314-630-9727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1526 SWALLOW DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-1620
Country	:	US
Telephone Number	:	314-630-9727
Fax Number	:

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

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	10/05/2009

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