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Kayla Rose Bomben, DPT

Physical Therapist in Grants Pass, OR. Individual provider (NPI-1).

NPI number1316624232
StatusActive
Last updated in NPPESAug 25, 2025

Details

NPI
1316624232
Entity type
Individual (NPI-1)
Name
Kayla Rose Bomben
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2023
Certification date
Aug 25, 2025
Last updated
Aug 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1407339TXYes
225100000X Physical Therapist64957OR
225100000X Physical Therapist304237CA
225100000X Physical TherapistPTL28143MA

Practice location

497 Sw Ramsey Ave
Grants Pass, OR 97527-5681

Phone 541-476-1919

Mailing address

4014 Guildford A
Boca Raton, FL 33434-2989

Phone 647-822-4072

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