Individual
KAYLA ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 5TH AVE NE, PUYALLUP, WA 98372-3070
(253) 312-7638
Mailing address
218 5TH AVE NE, PUYALLUP, WA 98372-3070
(253) 312-7638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60480000
WA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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