Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Jae Lavine

Individual provider Physical Therapist · NPI 1417641010

Kylie Jae Lavine is a Physical Therapist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

200 Southpark Blvd Ste 102
St Augustine, FL 32086-3129
Phone: (774) 670-8023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTT40277 (FL)

Record details

NPI number1417641010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

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