Individual
KYLER LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
426 S ALABAMA ST STE 200, INDIANAPOLIS, IN 46225-3301
(317) 528-6804
(317) 528-3781
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014408A
IN
225100000X
Physical Therapist
5501020119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05014408A
LICENSE
IN
Enumeration date
06/09/2022
Last updated
06/07/2023
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