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Individual

KAYLA J MULLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, DENVER, CO 80246-1534
(541) 314-5684
Mailing address
6969 W 90TH AVE APT 635, WESTMINSTER, CO 80021-6460

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014509
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA.0014509
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
11/19/2018
Last updated
11/19/2018
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