Provider Demographics
NPI:1699499434
Name:WHITE, KAYLA SIERRA (DPT)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:SIERRA
Last Name:WHITE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 NW 7TH ST APT 320W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3362
Mailing Address - Country:US
Mailing Address - Phone:914-434-3698
Mailing Address - Fax:
Practice Address - Street 1:8030 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4510
Practice Address - Country:US
Practice Address - Phone:786-703-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist