Kayla Ambria Bennett, PTA
Individual provider Active NPI Physical Therapy Assistant · Ashland, KY
NPI 1437516796 · NPPES record last updated Jan 18, 2016
Key facts
- NPI
- 1437516796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A03151 (KY)
- Practice address
- 12100 Princeland Spur
Ashland, KY 41102-7883 - Phone
- (606) 928-2963
- NPI assigned
- Jan 18, 2016
- 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 |
|---|---|---|---|
| A03151 | KY | MD | Physical Therapy Assistant |
| PTA.09313 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03151 | KY | Yes |
| Physical Therapy Assistant | 225200000X | PTA.09313 | OH |
Addresses
Primary practice location
12100 Princeland Spur
Ashland, KY 41102-7883
Mailing address
1917 Woodland Dr
Ironton, OH 45638-2347
Phone (606) 232-1613
Other providers in Ashland, KY
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- David E Bellville
- Ben J. O'Dell, MD, PSC
- Jamie Bennett
- Tracy Bentley
- Alynn Ann Berg
- Karri Berlin
- Cesiah Bernal
- Ashley Berry
All providers in Ashland, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2016. 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.