Individual
BRENDA KYTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1086 ROUTE 315, PRO REHABILITATION SERVICES, PLAINS, PA 18702
(570) 823-7761
(570) 822-8033
Mailing address
1086 ROUTE 315, PRO REHABILITATION SERVICES, PLAINS, PA 18702
(570) 823-7761
(570) 822-8033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009783L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508796
BLUE SHIELD
—
01
—
388442
HEALTH AMERICA ASSURANCE
—
01
—
393525
HEALTH AMERICA ASSURANCE
—
01
—
393526
HEATH AMERICA ASSURANCE
—
01
—
815881
FIRST PRIORITY
—
01
—
818043
FIRST PRIORITY
—
01
—
818044
FIRST PRIORITY
—
Enumeration date
11/27/2006
Last updated
09/29/2023
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