Individual
KYLE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2400 PORTAGE ST, KALAMAZOO, MI 49001-3728
(269) 381-4290
Mailing address
2400 PORTAGE ST, KALAMAZOO, MI 49001-3728
(269) 381-4290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008431
MI
Other
Enumeration date
12/11/2023
Last updated
12/18/2023
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