Kayla Marie Bryant, DPT
Individual provider Active NPI Physical Therapist · Raytown, MO
NPI 1629329156 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1629329156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2011040061 (MO)
- Practice address
- 8745 James a Reed Rd
Raytown, MO 64138-4414 - Phone
- (816) 761-4744
- Fax
- (816) 761-4724
- NPI assigned
- Sep 24, 2012
- 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 |
|---|---|---|---|
| 2011040061 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2011040061 | MO | Yes |
Addresses
Primary practice location
8745 James a Reed Rd
Raytown, MO 64138-4414
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Other providers in Raytown, MO
- Santina Dianne Brown
- Shirley Brummett
- Merlene Gay Brush
- Pamela Bryant-Bush
- James R Bryant
- Ashlynn Sundvold Bryson
- Deborah L Bua
- Jonathan Wesley Thomas Bundrick
- Jamie Lynn Burkett
- Bailey Marie Burt
All providers in Raytown, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. 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.