Lake, Kaitlyn

Lake, Kaitlyn is an individual health care provider with primary practice located at 761 W Antelope Dr , Layton UT 84041-1630. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lake, Kaitlyn can be contacted via phone (801) 779-2620.

Contact Information

Primary practice address
761 W Antelope Dr Layton UT 84041-1630
Phone: (801) 779-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8986796-4701 Utah

Profile Details

NPI number 1649802919
LBN Legal business name Lake, Kaitlyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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