Most Relevant Information
Provider Data
| NPI Number: | 1003493255 |
| Provider Name: | KAYLA DAWN TAGGART PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA011605 |
Most Important Dates
| Enumeration Date: | 03/25/2021 |
| Last Updated: | 03/25/2021 |
Provider Practice Location
60 PACELINE CIR
XENIA
OH
453851281
Practice Location Phone/Fax
| Phone: | 9379152377 |
| Fax: |
Provider Mailing Location
200 POSEY LN APT 104
CENTERVILLE
OH
454592284
Provider Mailing Phone/Fax
| Phone: | 7405419509 |
| Fax: |