Individual
KYLE WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06281
KS
225100000X
Physical Therapist
65466
OR
225100000X
Physical Therapist
Primary
PT61592551
WA
Other
Enumeration date
06/11/2019
Last updated
01/23/2026
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