IndividualActive
Brianna Kaulbach, PTA
NPI 1255900015 · Physical Therapy Assistant · South Portland, ME
Provider details
- NPI number
- 1255900015
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PA4909 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
225 Gorham Rd Ste 200
South Portland, ME 04106-2462
Phone: (800) 757-3326
Fax: (207) 400-8891
Approximate (ZIP-level) locationGet directions
Mailing address
225 Gorham Rd Ste 200
South Portland, ME 04106-2462
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2023-10-01
- Certified
- 2023-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.