Organization
APPALACHIAN MOUNTAIN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLAN WILLIS EVANS MS CCC-SLP (PRACTICE OWNER)
(828) 550-2427
Entity
Organization
Contact information
Practice address
46 S MAIN ST, WAYNESVILLE, NC 28786-6701
(828) 550-2427
Mailing address
46 S MAIN ST, WAYNESVILLE, NC 28786-6701
(828) 550-2427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497177000
—
NC
Enumeration date
08/22/2016
Last updated
08/22/2016
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