Individual
KYLE MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 QUEBEC ST BLDG 600, DENVER, CO 80230-7144
(303) 341-0369
(303) 341-0866
Mailing address
200 QUEBEC ST BLDG 600, DENVER, CO 80230-7144
(303) 341-0369
(303) 341-0866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA.0013803
CO
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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