Individual
BRYAN KEITH KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1465 PARKDALE AVENUE, MANISTEE, MI 49660
(231) 398-1166
(231) 398-1499
Mailing address
1465 PARKDALE AVENUE, MANISTEE, MI 49660
(231) 398-1166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008939
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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