Provider Demographics
NPI:1508368952
Name:TOBEY, KAYLA ANNE (DC)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANNE
Last Name:TOBEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PELICAN DR STE A
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-5372
Mailing Address - Country:US
Mailing Address - Phone:318-442-7831
Mailing Address - Fax:318-442-7838
Practice Address - Street 1:112 PELICAN DR STE A
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-5372
Practice Address - Country:US
Practice Address - Phone:318-442-7831
Practice Address - Fax:318-442-7838
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1810111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor