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Individual
KYLIE SMERCHEK
Active
Individual
KYLIE SMERCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107023
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107023
PHYSICAL THERAPY LICENSE
IA
Enumeration date
06/10/2021
Last updated
11/16/2023
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