Individual
KYLE ANDREW UTNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, PTA
Contact information
Practice address
7211 PRESTON RD STE T1200, PLANO, TX 75024-4700
(469) 303-3000
Mailing address
7211 PRESTON RD STE T1200, PLANO, TX 75024-4700
(469) 303-3000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2151789
TX
2255A2300X
Athletic Trainer
AT6749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151789
PHYSICAL THERAPIST ASSISTANT LICENSE NUMBER
TX
01
—
AT6749
ATHLETIC TRAINERS LICENSURE NUMBER
TX
Enumeration date
08/30/2021
Last updated
08/30/2021
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