Individual
KYLE ALLEN HAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
307 E SCENIC VALLEY AVE, SUITE 300, INDIANOLA, IA 50125-4865
(515) 643-9109
(515) 643-9138
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9109
(515) 643-9138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
086035
IA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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