Individual
KYLE AUSTIN CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
6264 LEWIS DR STE 100, PARKVILLE, MO 64152-3603
(816) 587-8001
Mailing address
1408 NE PARVIN RD APT 102, KANSAS CITY, MO 64116-5009
(580) 919-0194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06716
KS
225100000X
Physical Therapist
Primary
2021024159
MO
225100000X
Physical Therapist
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-06716
KANSAS STATE BOARD OF HEALING ARTS
KS
01
—
2021024159
MISSOURI STATE BOARD OF HEALING ARTS
MO
Enumeration date
05/24/2021
Last updated
07/30/2021
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