Individual
MR. KIPP KEVIN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
1237 HIGHLAND AVE, NEEDHAM, MA 02492-2615
(781) 444-1290
(866) 305-1388
Mailing address
PO BOX 920370, NEEDHAM, MA 02492-0005
(781) 444-1290
(866) 305-1388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10955
MA
Other
Enumeration date
11/15/2006
Last updated
11/16/2011
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