Individual
KAYLA NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 OUACHITA ROAD 291, BEARDEN, AR 71720-9580
(870) 807-5254
Mailing address
1307 PRINCETON DR, LONGVIEW, TX 75601-4947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
10/21/2024
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