Individual
KAYLA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2219 N 6TH ST, CHENEY, WA 99004-2171
(509) 235-6196
Mailing address
568 SCENIC HTS, CHENEY, WA 99004-1143
(509) 954-9571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160106178
WA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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