Individual
KAYLA LASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-3500
Mailing address
4517 HEFFRON ST, STEVENS POINT, WI 54481-5578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17757-24
WI
2251X0800X
Orthopedic Physical Therapist
Primary
—
WI
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
06/04/2026
Last updated
07/23/2026
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