Individual
MR. KYLE ALAN TENBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19035 W CAPITOL DR STE 100, BROOKFIELD, WI 53045-2755
(262) 695-6744
(262) 695-6466
Mailing address
19035 W CAPITOL DR STE 100, BROOKFIELD, WI 53045-2755
(262) 695-6744
(262) 695-6466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14413-24
WI
Other
Enumeration date
08/27/2018
Last updated
01/08/2019
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