Individual
KYLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20024 GLENMORE DR STE 101, GRETNA, NE 68028-4662
(402) 332-3773
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
(402) 932-6791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4487
NE
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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