Provider Demographics
NPI:1306356001
Name:KAY, BREE L (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:BREE
Middle Name:L
Last Name:KAY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 BADILLO RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-1203
Mailing Address - Country:US
Mailing Address - Phone:760-842-3056
Mailing Address - Fax:
Practice Address - Street 1:3512 BADILLO RD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-1203
Practice Address - Country:US
Practice Address - Phone:760-842-3056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-07
Last Update Date:2020-10-21
Deactivation Date:2018-04-24
Deactivation Code:
Reactivation Date:2020-10-21
Provider Licenses
StateLicense IDTaxonomies
CAPT2940112251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics