Provider Demographics
NPI:1073913349
Name:CAYO, KETIA FELIX (DPT, CLT)
Entity Type:Individual
Prefix:
First Name:KETIA
Middle Name:FELIX
Last Name:CAYO
Suffix:
Gender:F
Credentials:DPT, CLT
Other - Prefix:
Other - First Name:KETA
Other - Middle Name:
Other - Last Name:FELIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, CLT
Mailing Address - Street 1:6052 WESTGATE DR
Mailing Address - Street 2:203
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6052 WESTGATE DR
Practice Address - Street 2:203
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7044
Practice Address - Country:US
Practice Address - Phone:321-400-3537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist