Provider Demographics
NPI:1003203290
Name:TURNER, CAYLA (MAT, OPA-C, ATC, LVN)
Entity Type:Individual
Prefix:
First Name:CAYLA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:MAT, OPA-C, ATC, LVN
Other - Prefix:
Other - First Name:CAYLA
Other - Middle Name:
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAT, OPA-C, ATC, LVN
Mailing Address - Street 1:634 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-2826
Mailing Address - Country:US
Mailing Address - Phone:615-653-0865
Mailing Address - Fax:
Practice Address - Street 1:634 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-2826
Practice Address - Country:US
Practice Address - Phone:615-653-0865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20000207002255A2300X
TX224820164X00000X
TX1280246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No164X00000XNursing Service ProvidersLicensed Vocational Nurse