Individual
KYLIE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7970 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-6100
Mailing address
4006 S CALHOUN ST # 2, FORT WAYNE, IN 46807-2410
(765) 716-8343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006441A
IN
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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