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Individual

KYLE JAMES WALENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
315 14TH AVE N, NASHVILLE, TN 37203-3416
(615) 321-5698
(615) 321-5538
Mailing address
45 VANTAGE WAY APT 2429, NASHVILLE, TN 37228-1641
(616) 818-5366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12414
TN

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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