Individual provider · Type 1 NPI

Kimberly Nicole Traylor, PTA

Physical Therapy Assistant · Lees Summit, MO

NPI number 1114408101 Active

Practice location

600 NE Meadowview Dr
Lees Summit, MO 64064

Mailing address

4020 S Jackson Dr Apt 202
Independence, MO 64057-1994

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2017027547 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114408101

Kimberly Nicole Traylor, PTA's National Provider Identifier is 1114408101, issued on Aug 27, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lees Summit, MO. The record was last updated on Aug 28, 2018.