Individual
KYLE HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 5TH ST, FARWELL, TX 79325-5615
(888) 873-4221
Mailing address
305 5TH ST, FARWELL, TX 79325-5615
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2115371
TX
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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