Individual
MR. KYLE OWEN FLEISCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1465 SW KNOLL AVE, SUITE 207, BEND, OR 97702-3261
(541) 550-7291
(541) 550-7356
Mailing address
PO BOX 6173, BEND, OR 97708-6173
(541) 550-7291
(541) 550-7356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4385
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181407
—
OR
Enumeration date
11/16/2005
Last updated
07/08/2007
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