Provider Demographics
NPI:1982293494
Name:PIUMELLI, KAYLA MORAN (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MORAN
Last Name:PIUMELLI
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:MARGARET
Other - Last Name:MORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8845 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6298
Mailing Address - Country:US
Mailing Address - Phone:561-560-5999
Mailing Address - Fax:
Practice Address - Street 1:8845 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6298
Practice Address - Country:US
Practice Address - Phone:561-560-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist