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NPI Code Detail

MEDICARE: KAITLIN MANKER

MEDICARE: KAITLIN MANKER
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 TherapistPT309174CA

General Provider Information

NPI Number : 1942152962
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN MANKER
Provider Business Mailing Address
First Line : 7 ALVISO DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1317 DEL NORTE RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8485
Country : US
Telephone Number : 805-485-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ KAITLIN MANKER ” Practice Location

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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.

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