Individual
KAYLA AMBRIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12100 PRINCELAND SPUR, ASHLAND, KY 41102-7883
(606) 928-2963
Mailing address
1917 WOODLAND DR, IRONTON, OH 45638-2347
(606) 232-1613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03151
KY
225200000X
Physical Therapy Assistant
PTA.09313
OH
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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