Individual provider · NPI-1
Kayla Lynn Farnham, CTRS
Recreation Therapist · Petersburg, VA
NPI number1043079031
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1043079031
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kayla Lynn Farnham
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2024
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
Practice location
350 Poplar DrPetersburg, VA 23805-9367
Phone 804-733-6874
Mailing address
7781 Cheathams RdAmelia Court House, VA 23002-2803
Phone 804-212-8095
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