Individual
KYLE P WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13445 TOSCA CT, ELM GROVE, WI 53122-1343
(612) 220-5361
Mailing address
13445 TOSCA CT, ELM GROVE, WI 53122-1343
(612) 220-5361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12288
WI
2251X0800X
Orthopedic Physical Therapist
12288-24
WI
Other
Enumeration date
10/16/2008
Last updated
06/10/2025
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