Kayla Gibbons
Individual provider Active NPI Physical Therapy Assistant · Juneau, WI
NPI 1346868296 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1346868296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2483-19 (WI)
- Practice address
- 198 County Road DF
Juneau, WI 53039-9515 - Phone
- (920) 386-3548
- NPI assigned
- Jul 8, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2483-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2483-19 | WI | Yes |
Addresses
Primary practice location
198 County Road DF
Juneau, WI 53039-9515
Mailing address
106 S Holmen Dr Ste 2
Holmen, WI 54636-9468
Phone (608) 526-9888
Other providers in Juneau, WI
- Maisie Mae Floyd
- Alicia Frank
- Sara Gaska
- Kristine Marie Gay
- Angela Rose Giangiulio
- Rachel Leigh Goss
- Robert Wayne Griesel
- Greg L Hanson
- Healing Relationships LLC
- Kim M Herman
All providers in Juneau, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. 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.