Individual
GAYLA MICHELE SPENCER
Active
Individual
GAYLA MICHELE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03462
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36503053
BCBS KC
—
01
—
KA2868021
MEDICARE PTAN
KS
Enumeration date
06/03/2006
Last updated
08/30/2022
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