Provider Demographics
NPI:1093528291
Name:JONES, KAYLA L ((LMT))
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:(LMT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 YEADON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3712
Mailing Address - Country:US
Mailing Address - Phone:484-745-8884
Mailing Address - Fax:
Practice Address - Street 1:4348 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-1749
Practice Address - Country:US
Practice Address - Phone:484-745-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG016150225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist