Individual
KAYLA WALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PTA
Contact information
Practice address
7475 W LAKE RD, FAIRVIEW, PA 16415-1402
(814) 823-2566
Mailing address
7475 W LAKE RD, FAIRVIEW, PA 16415-1402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE010582
PA
2255A2300X
Athletic Trainer
Primary
RT005971
PA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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