Individual
KYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3691 WILLOWCREEK RD STE 100, PORTAGE, IN 46368-5000
(219) 759-4380
(219) 759-1989
Mailing address
1503 OHIO ST, LA PORTE, IN 46350-4443
(219) 393-9845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006779A
IN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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