Provider Demographics
NPI:1326457730
Name:PREISTER, KALA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KALA
Middle Name:
Last Name:PREISTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KALA
Other - Middle Name:
Other - Last Name:KUHLMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:45828 535TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWMAN GROVE
Mailing Address - State:NE
Mailing Address - Zip Code:68758
Mailing Address - Country:US
Mailing Address - Phone:712-269-9887
Mailing Address - Fax:
Practice Address - Street 1:706 EWING ST
Practice Address - Street 2:
Practice Address - City:GENOA
Practice Address - State:NE
Practice Address - Zip Code:68640-3035
Practice Address - Country:US
Practice Address - Phone:402-993-4599
Practice Address - Fax:402-993-2373
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist