Provider Demographics
NPI:1932963782
Name:CHIPMAN, KAYLA BROOKE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:BROOKE
Last Name:CHIPMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 JAKE ALEXANDER BLVD W STE 106
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1442
Mailing Address - Country:US
Mailing Address - Phone:704-636-0052
Mailing Address - Fax:
Practice Address - Street 1:320 JAKE ALEXANDER BLVD W STE 106
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1442
Practice Address - Country:US
Practice Address - Phone:704-636-0052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP22994225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist