Kayla L Anderson, PT, DPT
Individual provider Active NPI Physical Therapist · Williamsburg, KY
NPI 1104381672 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1104381672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 005869 (KY)
- Practice address
- 300 Main St
Williamsburg, KY 40769-1124 - Phone
- (606) 549-7000
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005869 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitley County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 005869 | KY | Yes |
Addresses
Primary practice location
300 Main St
Williamsburg, KY 40769-1124
Mailing address
472 Double T LN
Corbin, KY 40701-8800
Other providers in Williamsburg, KY
- Air Affiliates Inc
- Air Evac EMS Inc.
- Kenneth Alcorn
- American Health Management, Inc.
- Austin Lane Anderson
- Appalachia Health Services LLC
- Associates in Eye Care, Inc.
- Richard W Bailey
- Alexis Baker
- Lyndsay Erin Baker
All providers in Williamsburg, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.