Provider Demographics
NPI:1801341771
Name:TUCHSCHERER, KAYA LOREE (PT)
Entity type:Individual
Prefix:
First Name:KAYA
Middle Name:LOREE
Last Name:TUCHSCHERER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KAYA
Other - Middle Name:LOREE
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 8467
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-8467
Mailing Address - Country:US
Mailing Address - Phone:425-223-6571
Mailing Address - Fax:307-733-5505
Practice Address - Street 1:46 IRON HORSE ST
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:WY
Practice Address - Zip Code:83128-9101
Practice Address - Country:US
Practice Address - Phone:307-654-5577
Practice Address - Fax:307-654-5578
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY144246500Medicaid