Individual
DR. KYLE EMMETT CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
19321 N 74TH DR, GLENDALE, AZ 85308-5642
(602) 456-2153
Mailing address
19321 N 74TH DR, GLENDALE, AZ 85308-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31793
AZ
Other
Enumeration date
06/05/2021
Last updated
02/10/2026
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