Individual
KAYLA ROSE FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
865 BELLEVUE RD APT U8, NASHVILLE, TN 37221-2790
(806) 205-1378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10565
TN
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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