Individual
DR. KYLE MACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16615 LARK AVE STE 101, LOS GATOS, CA 95032-7645
(408) 358-1460
Mailing address
184 MERRITT RD, LOS ALTOS, CA 94022-3027
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
300568
CA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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