Provider Demographics
NPI:1134651847
Name:TROMBLEY, KAYLA R (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:R
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2006
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-0640
Mailing Address - Country:US
Mailing Address - Phone:860-927-6037
Mailing Address - Fax:
Practice Address - Street 1:1 MACEDONIA RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1304
Practice Address - Country:US
Practice Address - Phone:860-927-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0010272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer