Individual ProviderKayla KorenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15905 S 46th St Ste 140, Phoenix, AZ 85048-2206(480) 805-8304(406) 756-0134PECOS EnrollmentBased on the most recent information from CMS, provider Kayla Koren does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1275210858Provider TypeIndividualFull NameKoren, KaylaTitleDr.GenderFemaleSole ProprietorNoEnumeration Date7/5/2023Last Updated11/20/2024Contact InformationPractice LocationPractice Address15905 S 46th St Ste 140, Phoenix, AZ 85048-2206Phone(480) 805-8304Fax(480) 805-8304Mailing LocationMailing AddressPO Box 5718, Kalispell, MT 59903-5718Phone(406) 756-0134Fax(406) 300-1612Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseLPT-33073Arizona