Kayla Christine Vickers, PT, DPT, CMTPT
NPI #1164053526 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1164053526
- Entity Type
- Individual
- Name
- Kayla Christine Vickers, PT, DPT, CMTPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT, CMTPT
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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