Provider Demographics
NPI:1881067924
Name:KAYS, ADAM (PT, DPT, OCS, CMPT)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:KAYS
Suffix:
Gender:M
Credentials:PT, DPT, OCS, CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15151 TIKI TRL
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4625
Mailing Address - Country:US
Mailing Address - Phone:618-218-7239
Mailing Address - Fax:
Practice Address - Street 1:15151 TIKI TRL
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4625
Practice Address - Country:US
Practice Address - Phone:618-218-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011958A2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic