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Individual
KYLE HIETPAS
Active
Individual
KYLE HIETPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16648-024
WI
225100000X
Physical Therapist
Primary
307572
CA
225100000X
Physical Therapist
CP029386T
TN
225100000X
Physical Therapist
CP034963T
AZ
225100000X
Physical Therapist
PT-6008
HI
225100000X
Physical Therapist
PTL27686
MA
Other
Enumeration date
02/13/2024
Last updated
03/13/2025
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