Provider Demographics
NPI:1205246873
Name:FELTZ, KAYLA (DC)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:FELTZ
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 1:3275 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2518
Mailing Address - Country:US
Mailing Address - Phone:419-222-4000
Mailing Address - Fax:419-222-1967
Practice Address - Street 1:3275 W ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2518
Practice Address - Country:US
Practice Address - Phone:419-222-4000
Practice Address - Fax:419-222-1967
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor