Individual
JAYDEN KAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1715 1ST AVE E, NEWTON, IA 50208-4050
(641) 791-9675
(641) 787-9006
Mailing address
1715 1ST AVE E, NEWTON, IA 50208-4050
(641) 791-9675
(641) 787-9006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
091033
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091033
IOWA DEPT OF PUBLIC HEALTH
IA
Enumeration date
03/23/2018
Last updated
03/23/2018
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