Individual
KAYLA MARIE LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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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