Individual
KYLA RAE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
300 E BROADWAY ST, LOOGOOTEE, IN 47553-1708
(812) 709-3286
Mailing address
841 S CAROL DR W, SANTA CLAUS, IN 47579-6118
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05012557A
IN
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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