Provider Demographics
NPI:1568143154
Name:SCHOENTHALER, KAYELA (DPT)
Entity Type:Individual
Prefix:
First Name:KAYELA
Middle Name:
Last Name:SCHOENTHALER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 219297
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9297
Mailing Address - Country:US
Mailing Address - Phone:316-252-2888
Mailing Address - Fax:
Practice Address - Street 1:662 E 47TH ST S
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67216-1769
Practice Address - Country:US
Practice Address - Phone:316-252-2888
Practice Address - Fax:866-630-6350
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist