Individual
MICHELLE KATHLEEN KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 BLUE IRIS CT, WISCONSIN RAPIDS, WI 54494-4241
(715) 712-1299
Mailing address
N1447 CHICAGO AVE, NEILLSVILLE, WI 54456-6767
(715) 937-4123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5819-27
WI
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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