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Individual
KYLE ADAM HENSLEY
Active
Individual
KYLE ADAM HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9450
CO
225100000X
Physical Therapist
Primary
P14856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102072369
OWCP FACILITY ID
—
01
—
P14856
NC PT LICENSE
NC
Enumeration date
06/01/2007
Last updated
06/09/2014
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