Provider Demographics
NPI:1750091435
Name:NESTER VICE, KAYLA (DC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:NESTER VICE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8664 SUMMIT PEAK WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-3130
Mailing Address - Country:US
Mailing Address - Phone:802-393-9572
Mailing Address - Fax:
Practice Address - Street 1:2372 LIFESTYLE WAY STE 174
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4940
Practice Address - Country:US
Practice Address - Phone:423-899-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor