Organization
TATER TOTS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA TAYLOR DPT (PRESIDENT)
(541) 337-2343
Entity
Organization
Contact information
Practice address
2450 SUMMERS LN, KLAMATH FALLS, OR 97603-6600
(541) 887-2207
(541) 887-2208
Mailing address
PO BOX 5255, KLAMATH FALLS, OR 97601-0127
(541) 887-2207
(541) 887-2208
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/06/2021
Last updated
02/07/2022
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