Provider Demographics
NPI:1386932762
Name:CLIMER, KAYLA ANN (PTA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:CLIMER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 ABBOTT CIR
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-1079
Mailing Address - Country:US
Mailing Address - Phone:937-726-1230
Mailing Address - Fax:
Practice Address - Street 1:1205 ABBOTT CIR
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-1079
Practice Address - Country:US
Practice Address - Phone:937-726-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA.08065225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant