Individual
KAELA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA, CSCS
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-0247
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-0247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA-A03131
KY
2255A2300X
Athletic Trainer
Primary
AT965
KY
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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