Individual
KAYLA ALISSA COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 MEDICAL CENTER DR, HARLAN, KY 40831-0014
(606) 573-7250
Mailing address
PO BOX 173, BLEDSOE, KY 40810-0173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02820
KY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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