Individual
KAYLA OWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
920 S HARTMANN DR STE 330, LEBANON, TN 37090-4136
(615) 547-6488
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15274
TN
225100000X
Physical Therapist
2305210888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
02/07/2017
Last updated
03/11/2026
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