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Individual

KYLIE NICOLE RUPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1023 N BELT LINE RD, MESQUITE, TX 75149-1788
(972) 216-2400
Mailing address
400 S HALL ST APT 426, DALLAS, TX 75226-1947
(817) 908-7043

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9128
TN

Other

Enumeration date
03/05/2026
Last updated
03/05/2026
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