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Individual

KYLE WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5755 E MAIN ST, MESA, AZ 85205-8814
(480) 214-2400
Mailing address
314 N COTTONWOOD DR, GILBERT, AZ 85234-5776
(480) 381-4511

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
8685
AZ
261QP2000X
Physical Therapy Clinic/Center
Primary
PT60483349
WA

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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