Kaylea Kerr, PTA

Individual provider Active NPI Physical Therapy Assistant · La Fayette, GA

NPI 1346857554 · NPPES record last updated Sep 30, 2020

Key facts

NPI
1346857554
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA004274 (GA)
Practice address
4450 Straight Gut Rd
La Fayette, GA 30728-6752
Phone
(423) 508-5819
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA004274GAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004274 GA Yes

Addresses

Primary practice location

4450 Straight Gut Rd
La Fayette, GA 30728-6752

Mailing address

4450 Straight Gut Rd
La Fayette, GA 30728-6752
Phone (423) 508-5819

Other providers in La Fayette, GA

All providers in La Fayette, GA · Physical Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.