Provider Demographics
NPI:1336522234
Name:MCKAIG, LAURA (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:MCKAIG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 E PIATT LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2917
Mailing Address - Country:US
Mailing Address - Phone:913-782-0029
Mailing Address - Fax:
Practice Address - Street 1:130 N CHERRY ST STE 203
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3460
Practice Address - Country:US
Practice Address - Phone:913-940-3923
Practice Address - Fax:913-498-9646
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-01719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist