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Individual

KYLIE BATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
115 S WASHINGTON ST, OTTUMWA, IA 52501-2531
(641) 682-8171
(641) 682-9054
Mailing address
PO BOX 474, EDDYVILLE, IA 52553-0474
(641) 682-8171
(641) 682-9054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078601
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665349
IA
Enumeration date
08/06/2015
Last updated
08/06/2015
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