Provider Demographics
NPI:1235655770
Name:KLUMPP, KAYLA (PT, DPT, CMPT)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:KLUMPP
Suffix:
Gender:F
Credentials:PT, DPT, CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 BRUNSWICK DR # 2400
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8350
Mailing Address - Country:US
Mailing Address - Phone:223-400-4477
Mailing Address - Fax:223-400-4015
Practice Address - Street 1:2201 BRUNSWICK DR # 2400
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-8350
Practice Address - Country:US
Practice Address - Phone:223-400-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028797225100000X
MD26587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist