Individual
KYLE WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 16TH ST W STE 100, DICKINSON, ND 58601-4675
(701) 225-0767
(701) 225-7123
Mailing address
227 16TH ST W STE 100, DICKINSON, ND 58601-4675
(701) 225-0767
(701) 225-7123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1121
ND
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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