Provider Demographics
NPI:1417527540
Name:SCOTT, KAYLEIGH F (ATC)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:F
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 CALLE SINALOA
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5334
Mailing Address - Country:US
Mailing Address - Phone:760-207-4063
Mailing Address - Fax:
Practice Address - Street 1:1814 CALLE SINALOA
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5334
Practice Address - Country:US
Practice Address - Phone:760-207-4063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer