Individual
KYLE W MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1305 HWY 6 & 34, CAMBRIDGE, NE 69022
(308) 697-4178
(308) 697-4179
Mailing address
2810 W 35TH ST, STE 2, KEARNEY, NE 68845-2909
(308) 237-7388
(308) 237-7394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2641
NE
Other
Enumeration date
06/02/2008
Last updated
11/12/2014
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