Individual
KAYLA DAWN TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 PACELINE CIR, XENIA, OH 45385-1281
(937) 915-2377
Mailing address
200 POSEY LN APT 104, CENTERVILLE, OH 45459-2284
(740) 541-9509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011605
OH
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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