Provider Demographics
NPI:1699229195
Name:LAYNE, LAURYN (DPT)
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:LAYNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LAURYN
Other - Middle Name:
Other - Last Name:HELMERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:3906 HARDY ST
Mailing Address - Street 2:STE 15
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1684
Mailing Address - Country:US
Mailing Address - Phone:253-304-5873
Mailing Address - Fax:
Practice Address - Street 1:1450 5TH ST SE
Practice Address - Street 2:SUITE 4400
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4602
Practice Address - Country:US
Practice Address - Phone:253-697-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
WAPT60658493225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic