Individual
KAYLA MARIE LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5625 PEARL DR STE 100, EVANSVILLE, IN 47712-8106
(812) 759-7493
(812) 401-2346
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014340A
IN
225100000X
Physical Therapist
12029
TN
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/09/2017
Last updated
09/02/2021
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