Individual
KYLA GALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015518
IL
225100000X
Physical Therapist
Primary
10541-24
WI
Other
Enumeration date
02/14/2007
Last updated
07/01/2024
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