Individual
MR. KYLE ALBERT DANEMAYER
Active
Individual
MR. KYLE ALBERT DANEMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004065
KY
225100000X
Physical Therapist
05008966A
IN
225100000X
Physical Therapist
Primary
PT.009000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490648
ANTHEM
OH
05
—
2712176
—
OH
01
—
P00352633
MEDICARE RAILROAD
OH
Enumeration date
07/11/2006
Last updated
08/31/2011
Update your record
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