Individual
STEPHEN KYLE SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7702617-2401
UT
225100000X
Physical Therapist
PT-4631
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7702617-2401
UTAH PT LICENSE
UT
01
—
PT-4631
IDAHO PT LICENSE
ID
Enumeration date
03/23/2017
Last updated
03/23/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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