Basic Information
| Provider Information | |||||||||
| NPI: | 1629436787 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATTIG | ||||||||
| FirstName: | KAYLA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPT, OCS, CSCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3250 ZEMKE AVE | ||||||||
| Address2: | HUMAN PERFORMANCE FLIGHT/PHYSICAL THERAPY | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172695242 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2250 MILLENNIUM WAY | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170251488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177328131 | ||||||||
| FaxNumber: | 7177328132 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2016 | ||||||||
| LastUpdateDate: | 08/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT024972 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251X0800X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.