Individual
KAYLA PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 MADISON AVE, TIFTON, GA 31794-3757
(229) 353-6188
(229) 353-6309
Mailing address
1641 MADISON AVE, TIFTON, GA 31794-3757
(229) 353-6188
(229) 353-6309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT010714
LICENSE
GA
Enumeration date
03/15/2014
Last updated
03/15/2014
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