Provider Demographics
NPI:1447846837
Name:JAMES, KAYLA RENEE (DPT)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:RENEE
Last Name:JAMES
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 1:8059 STAGE HILLS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4071
Mailing Address - Country:US
Mailing Address - Phone:901-383-4515
Mailing Address - Fax:901-383-4505
Practice Address - Street 1:8059 STAGE HILLS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4071
Practice Address - Country:US
Practice Address - Phone:901-383-4515
Practice Address - Fax:901-383-4505
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000105642081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty