Provider Demographics
NPI:1295487254
Name:WESTCOTT, KAYLA N
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:N
Last Name:WESTCOTT
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 1:6070 E FIELDSTONE HILLS DR SE UNIT 10
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7564
Mailing Address - Country:US
Mailing Address - Phone:269-804-9229
Mailing Address - Fax:
Practice Address - Street 1:6070 E FIELDSTONE HILLS DR SE UNIT 10
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-7564
Practice Address - Country:US
Practice Address - Phone:269-804-9229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant