Individual
KYLE VICTOR MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N NORTH ST, OTSEGO, MI 49078-1018
(269) 655-5430
Mailing address
205 N NORTH ST, OTSEGO, MI 49078-1018
(269) 655-5430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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