Individual
KAYLA MARIE ANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2218 W GRAND AVE, ARTESIA, NM 88210-1624
(575) 746-2731
Mailing address
404 WILLOW RUN DR, RED BUD, IL 62278-2412
(618) 381-4341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007214
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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