Provider Demographics
NPI:1619450749
Name:MCGREGOR, KAYLEIGH FAY
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:FAY
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 SKY TOP DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5488
Mailing Address - Country:US
Mailing Address - Phone:914-456-5494
Mailing Address - Fax:
Practice Address - Street 1:7260 POST RD # 3211
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3238
Practice Address - Country:US
Practice Address - Phone:401-329-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist