Individual
KAILI LEILANI KASHIWAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
2150 S WEST TEMPLE APT 222, SOUTH SALT LAKE, UT 84115-2558
(801) 866-6743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13398191-2401
UT
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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