Individual
KYLEE LYNN TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8700 A C SKINNER PKWY, JACKSONVILLE, FL 32256-0836
(904) 642-7300
Mailing address
8539 GATE PKWY W UNIT 1527, JACKSONVILLE, FL 32216-1046
(904) 487-4738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31541
FL
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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