# TATER TOTS PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548925399
- **Authorized official:** KAYLA TAYLOR DPT (PRESIDENT)
- **Authorized official phone:** (541) 337-2343

## Contact information

- **Practice address:** 2450 SUMMERS LN, KLAMATH FALLS, OR 97603-6600
- **Practice address phone:** (541) 887-2207
- **Practice address fax:** (541) 887-2208
- **Mailing address:** PO BOX 5255, KLAMATH FALLS, OR 97601-0127
- **Mailing address phone:** (541) 887-2207
- **Mailing address fax:** (541) 887-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/06/2021
- **Last updated:** 02/07/2022