Individual
KYLE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 W JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-9729
(563) 422-9229
Mailing address
112 W JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-9729
(563) 422-9229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
079714
IA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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